Sonia Shastry, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C2-0023911 Issued in DE

Practice address

875 Aaa Blvd Ste C
Newark, DE 19713-3624

Phone

(302) 918-6400

NPI assigned

Mar 22, 2018

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

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Philadelphia College of Osteopathic Medicine, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  DE

  Medicare reassignment
• Advocare, LLC

  • Pediatrics Physician
  • Newark, DE
  • NPI 1811877475
  NPD
• Kerry Kirifides, M.D., P.a.

  • Pediatrics Physician
  • Newark, DE
  • NPI 1922214030
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1154825305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 AAA BLVD STE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133624",
            "telephone_number": "302-918-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AAA BLVD STE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133624",
            "telephone_number": "302-918-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRY",
        "first_name": "SONIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C2-0023911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sharkey Jr.
• Prerna Sharma, MD
• Sharon E. Cooper, LCSW, LLC
• Mara L Sharp
• Shashi Patel MD
• Genti Shatri, DO
• Dennis Shaw, PA-C
• Michelle Lynn Shaw, PA-C
• Sarah Shaw, FNP-C
• Julie Sheahan

• Pediatrics Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.