Jiyoun Song
Jiyoun Song is an Acute Care Nurse Practitioner in Flushing, NY, registered under NPI 1003347253. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Flushing, based on OpenStreetMap data collected Sep 20, 2026. Parking is available about 0.44 mi away. The nearest transit stop is 233 ft away, served by 150th Street & Northern Boulevard. A pharmacy sits 0.44 mi from the entrance (Parsons Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.41 mi away.
Getting here and what is nearby
Restaurant 92 Chicken 128 ft ~1 min
150-29 Northern Boulevard, 11354
Transit Northern Boulevard & 150th Street 170 ft ~1 min
Transit 150th Street & Northern Boulevard 212 ft ~1 min
Transit 150th Street & Northern Boulevard 233 ft ~1 min
Parking 263 ft ~1 min
Parking 295 ft ~2 min
Restaurant Korean BBQ 358 ft ~2 min
Northern Boulevard
Gas station Conoco 492 ft ~2 min
Restaurant KFC 479 ft ~2 min
Coffee COFFEE FACTORY 771 ft ~3 min
Coffee Breakfast and Coffee 0.23 mi ~5 min
Northern Boulevard
Gas station Exxon 0.24 mi ~5 min
Gas station Mobil 0.24 mi ~5 min
Convenience 7-Eleven 0.28 mi ~6 min
Grocery H Mart 0.33 mi ~7 min
156-40 Northern Boulevard, Flushing 11354
Grocery Great Wall Supermarket 0.37 mi ~8 min
144-50 Northern Boulevard, Flushing 11354
Mo-Su 08:30-10:15
Coffee Cocohodo 0.41 mi ~9 min
Pharmacy Rite Aid 0.42 mi ~9 min
Parking 0.44 mi ~9 min
40-30 159th Street, 11358
Pharmacy Parsons Pharmacy 0.44 mi ~9 min
144-14 Northern Boulevard, Flushing 11354
Mo-Sa 09:00-19:00
Grocery New Age Market 0.50 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 431104 | NY | Acute Care Nurse Practitioner primary |
| 694059 | NY | Registered Nurse |
This provider holds licence 431104 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 6204214802
- Enrollment ID
- I20220610001304
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Acute Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LA2100X | Acute Care Nurse Practitioner Acute Care | 431104 | NY | primary |
| 163W00000X | Registered Nurse | 694059 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003347253 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 21, 2017 |
| Last updated | Mar 21, 2017 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
15408 NORTHERN BLVD #2K Flushing, NY 11354 (718) 445-0200 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 4 | 7 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 4 | 5 | 2 | 1 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.