Individual provider Active NPI

Sharad N Soni, M.D.

  • Internal Medicine Physician
  • Ozone Park, NY
National Provider Identifier
1295701357
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192896 Issued in NY
Practice address
9540 102ND St FL 1
Ozone Park, NY 11416-1712
Phone
(718) 641-5555
Fax
(718) 641-6677
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 192896 NY Primary

Addresses

Primary practice location

9540 102ND St FL 1
Ozone Park, NY 11416-1712

Mailing address

29 Lake Dr.
New Hyde Park, NY 11040-1122
Phone (516) 570-0002

Other practice location 1

4241 201st St
Bayside, NY 11361-2550
Phone (718) 971-2671

Other identifiers 1

IdentifierTypeStateIssuer
01472182MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20071126000542 NY Practitioner - Internal Medicine 3072601194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9540 102ND St
Ozone Park, NY 11416-1712
Phone (718) 641-5555

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Forest View Center for Rehabilitation & Nursing Nursing home, Forest Hills, NY, CCN 335310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sharad Soni Physician P.C. Internal Medicine CurrentSince Nov 1, 1995 Accepting new patients
Wedgewood Care Center Inc Past Accepting new patients
Ozanam Hall of Queens Nursing Home, Inc Past Accepting new patients
Complete Heart and Vascular Care PC PastSince Apr 1, 2023 Accepting new patients
Womens Health Care Associates PC Past Accepting new patients

Locations

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

9709 101st Ave
Ozone Park, NY 11416
Phone (718) 641-1966

9540 102nd St
Ozone Park, NY 11416
Phone (718) 845-6948

10012 101st Ave
Ozone Park, NY 11416
Phone (412) 491-7611

9540 102nd St
#1
Ozone Park, NY 11416
Phone (718) 641-5555

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sharadsoni@ssppc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozanam Hall of Queens Nursing Home, IncBayside, NY, CCN 335363 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1295701357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAKE DR.",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401122",
            "telephone_number": "516-570-0002",
            "fax_number": "516-570-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 102ND ST FL 1",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161712",
            "telephone_number": "718-641-5555",
            "fax_number": "718-641-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4241 201st St",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612550",
            "country_code": "US",
            "telephone_number": "718-971-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONI",
        "first_name": "SHARAD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01472182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.