Active NPIIndividual providerSole proprietor

Mrs. Stephanie I Song, MS, RD, CDE

Dietitian, Registered in Saddle Brook, New Jersey

NPI Number1396889705
Practice location
337 Market St, Suite 1, Saddle Brook, NJ 07663-5313
Fax
201-368-9787
Last updated
July 8, 2007

Stephanie Ingram Song is a Dietitian, Registered based in Saddle Brook, NJ. Stephanie Ingram Song practices in Saddle Brook, NJ and has the professional credentials of MS, RD, CDE. The NPI Number for Stephanie Ingram Song is 1396889705 and holds a License No. 5305 (NY). The current practice location address for Stephanie Ingram Song is 337 Market St, Suite 1, Saddle Brook, NJ 07663-5313 and can be reached out via phone at 201-368-3800 and via fax at 201-368-9787.

Provider Profile Details

NPI Number
1396889705
Provider Name
Stephanie Ingram Song
Credential
MS, RD, CDE
Provider Entity Type
Individual
Gender
Female
Address
337 Market St, Suite 1, Saddle Brook, NJ 07663-5313
Phone Number
201-368-3800
Fax Number
201-368-9787
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
337 Market St
Suite 1
Saddle Brook, NJ 07663-5313
Zip
07663-5313
Phone Number
201-368-3800
Fax Number
201-368-9787
Saddle Brook, NJ 07663Get directions →

Provider Business Mailing Address Details

Address
337 Market St
Suite 1
Saddle Brook, NJ 07663-5313
City
Saddle Brook
State
NJ
Zip
07663-5313
Phone Number
201-368-3800
Fax Number
201-368-9787

License Information

License Number
5305
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · 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 Mrs. Stephanie I Song, MS, RD, CDE?

The NPI number of Mrs. Stephanie I Song, MS, RD, CDE is 1396889705. It was assigned on February 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephanie I Song, MS, RD, CDE?

Mrs. Stephanie I Song, MS, RD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 5305.

Where does Mrs. Stephanie I Song, MS, RD, CDE practice?

The practice location is 337 Market St, Suite 1, Saddle Brook, NJ 07663-5313. The office can be reached at 201-368-3800 (phone) or 201-368-9787 (fax).

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 1396889705 directly on the NPPES registry website.

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