Ji Sun Song, NP
NPI 1851016851ActiveIndividual· Nurse Practitioner, Adult Health· Valley Stream, NY
Nurse Practitioner, Adult Health (NP) with North Shore-Lij Medical PC, practicing in Valley Stream, New York. Medicare paid $1,647 for services to 23 patients in 2024. Lists Long Island Jewish Medical Center as a hospital affiliation.
Overview
| NPI | 1851016851 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2022 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | May 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 310880 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 28 across 7 procedure codes |
| Paid by Medicare | $1,647 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Long Island Jewish Medical CenterNew Hyde Park, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 adult health nurse practitioners in Valley Stream · All adult health nurse practitioners in New York