Ivy Medicine, PC
NPI 1932328168 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Hauppauge, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Medicine, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Hauppauge, NY (NPI 1932328168).
Provider details
- NPI number
- 1932328168
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sanghun Song, President(631) 673-1177
- License
- 208578 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2007-11-16
Frequently asked questions
- What is Ivy Medicine, PC's NPI number?
- Ivy Medicine, PC's National Provider Identifier (NPI) is 1932328168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Medicine, PC?
- Ivy Medicine, PC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Ivy Medicine, PC located?
- Ivy Medicine, PC's practice location on file with NPPES is 740 Veterans Hwy, Hauppauge, NY 11788-2329.
- What is Ivy Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Medicine, PC is (631) 673-1177.
- Does Ivy Medicine, PC accept Medicare?
- Ivy Medicine, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivy Medicine, PC?
- The authorized official listed on Ivy Medicine, PC's NPPES record is Sanghun Song, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Medicine, PC's NPI active?
- Yes — Ivy Medicine, PC's NPI (1932328168) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.