Active NPIIndividual providerSole proprietor

Mr. Balg Eun Song, OTR/L

Occupational Therapist in Haworth, New Jersey

NPI Number1144689670
Practice location
25 Valley RD, Haworth, NJ 07641-1819
Fax
—
Last updated
January 5, 2025

Balg Eun Song is an Occupational Therapist based in Haworth, NJ. Balg Eun Song practices in Haworth, NJ and has the professional credentials of OTR/L. The NPI Number for Balg Eun Song is 1144689670 and holds a License No. 019534-1 (NY). The current practice location address for Balg Eun Song is 25 Valley RD, Haworth, NJ 07641-1819 and can be reached out via phone at 215-900-4636.

Provider Profile Details

NPI Number
1144689670
Provider Name
Balg Eun Song
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
25 Valley RD, Haworth, NJ 07641-1819
Phone Number
215-900-4636
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Other Names
Mr. Nate Song (Other Name)
Provider Enumeration Date
February 11, 2016
Last Update Date
January 5, 2025
Certification Date
January 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Valley RD
Haworth, NJ 07641-1819
Zip
07641-1819
Phone Number
215-900-4636
Haworth, NJ 07641Get directions →

Provider Business Mailing Address Details

Address
25 Valley RD
Haworth, NJ 07641-1819
City
Haworth
State
NJ
Zip
07641-1819
Phone Number
215-900-4636

License Information

License Number
019534-1
License State
NY
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Balg Eun Song, OTR/L?

The NPI number of Mr. Balg Eun Song, OTR/L is 1144689670. It was assigned on February 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Balg Eun Song, OTR/L?

Mr. Balg Eun Song, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 019534-1.

Where does Mr. Balg Eun Song, OTR/L practice?

The practice location is 25 Valley RD, Haworth, NJ 07641-1819. The office can be reached at 215-900-4636 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144689670 directly on the NPPES registry website.

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