Active NPIIndividual provider

Ryan Song, PA-C

Physician Assistant in Hamilton, New Jersey

NPI Number1316637382
Practice location
2063 Klockner RD, Hamilton, NJ 08690-3414
Fax
—
Last updated
July 14, 2025

Ryan Song is a Physician Assistant based in Hamilton, NJ. Ryan Song practices in Hamilton, NJ and has the professional credentials of PA-C. The NPI Number for Ryan Song is 1316637382 and holds a License No. 030386 (NY). The current practice location address for Ryan Song is 2063 Klockner RD, Hamilton, NJ 08690-3414 and can be reached out via phone at 609-586-9788.

Provider Profile Details

NPI Number
1316637382
Provider Name
Ryan Song
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2063 Klockner RD, Hamilton, NJ 08690-3414
Phone Number
609-586-9788
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2023
Last Update Date
July 14, 2025
Certification Date
July 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2063 Klockner RD
Hamilton, NJ 08690-3414
Zip
08690-3414
Phone Number
609-586-9788
Hamilton, NJ 08690Get directions →

Provider Business Mailing Address Details

Address
2063 Klockner RD
Hamilton, NJ 08690-3414
City
Hamilton
State
NJ
Zip
08690-3414
Phone Number
609-586-9788

License Information

License Number (1)
030386
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
25MP00925700
License State (3)
NJ
Taxonomy (3)
Physician Assistant · 363A00000X · 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 Ryan Song, PA-C?

The NPI number of Ryan Song, PA-C is 1316637382. It was assigned on May 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Ryan Song, PA-C?

Ryan Song, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 030386.

Where does Ryan Song, PA-C practice?

The practice location is 2063 Klockner RD, Hamilton, NJ 08690-3414. The office can be reached at 609-586-9788 (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 1316637382 directly on the NPPES registry website.

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