KUNCHANG SONG (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1669406088

KUNCHANG SONG (M.D.) is a healthcare provider. based in Hackensack, New Jersey. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD425765 (PA). The NPI Number for KUNCHANG SONG (M.D.) is 1669406088

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
KUNCHANG SONG (M.D.)
NPI
1669406088
Phone
(551) 996-4816
Address
30 Prospect Ave
Enumeration Date
10 July 2006
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019962000
Graduation Year
1990 (36 years ago)
PAC ID
3779633755
Group Practice PAC ID
2365589298
Professional Enrollment ID
I20100308000895
Address ID
NJ076011915HA30XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

355 PATHOLOGY in NJ

Provider Addresses for KUNCHANG SONG (M.D.)

  • 30 Prospect Ave

    Hackensack, NJ 076011915

    Phone: (551) 996-4816

    Type: Location

  • Palisades Medical Center, 7600, River Road, North Bergen, Hudson County, New Jersey, 07047, United States

    NORTH BERGEN, NJ 070476217

    Phone: (201) 520-1960

    Type: Location

  • 200 OLD PALISADE RD APT 30D

    FORT LEE, NJ 070247063

    Phone: (201) 916-0154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100308000895IPathologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity543254$0
88342Special stained specimen slides to examine tissue, initial procedure197119$0
88341Special stained specimen slides to examine tissue, each additional procedure19756$0
88307Pathology examination of tissue using a microscope, moderately high complexity13373$0
88331Pathology examination of specimen during surgery, first tissue block8024$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Provider's Procedures

KUNCHANG SONG (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNY88304Pathology examination of tissue using a microscope, moderately low complexity134102
PATHOLOGYNY88307Pathology examination of tissue using a microscope, moderately high complexity173132

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365589298View full group profile
NameSpecialtyState
P A T H O L O G YMI
P A T H O L O G YNJ
-NJ
P A T H O L O G YNJ
P A T H O L O G YTX
P A T H O L O G YNJ
P A T H O L O G YNJ
P A T H O L O G YCA
P A T H O L O G YNJ
P A T H O L O G YNJ

Reviews

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Frequently asked questions

How do I look up KUNCHANG SONG (M.D.) by NPI?
Use NPI 1669406088 when you need to reference KUNCHANG SONG (M.D.) in forms, claims, or directories.
Is KUNCHANG SONG (M.D.)'s NPI currently valid?
The extract we use shows KUNCHANG SONG (M.D.) as active.
What field does KUNCHANG SONG (M.D.) work in?
You can think of KUNCHANG SONG (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does KUNCHANG SONG (M.D.) practice in New Jersey?
You will see Hackensack, New Jersey on file for KUNCHANG SONG (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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