Sowmya Maino Gollamandala

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

25 Pocono Road, 2ND Floor - C Wing
St. Clare'S Health Graduate Medical Education Office
Denville, NJ 07834

Phone

(973) 365-4661

NPI assigned

May 20, 2025

Reactivated

May 19, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1033901640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD, 2ND FLOOR - C WING",
            "address_2": "ST. CLARE'S HEALTH GRADUATE MEDICAL EDUCATION OFFICE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-365-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD, 2ND FLOOR - C WING",
            "address_2": "ST. CLARE'S HEALTH GRADUATE MEDICAL EDUCATION OFFICE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-365-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLAMANDALA",
        "first_name": "SOWMYA",
        "middle_name": "MAINO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "deactivation_date": "2026-04-01",
        "reactivation_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gjmec & LT LLC
• Sulochana Gnanasekaran
• Michael Edward Goldberg
• Jack Goldshlack, DO
• Eric M Goldstein, RPH
• Meredith Gondo, PSYD
• Nicaulis Aydee Gonzalez Lebron
• Alison Gonzalez, MA, CCC-SLP
• Prateek Gopigari
• Angelica Gori

• Student in an Organized Health Care Education/Training Program in Denville, NJ
• Providers in Denville, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.