Active NPI
Sonali Lal Physician PC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
National Provider Identifier
1376922542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 240678
- Legal business name
- SONALI LAL PHYSICIAN PC
- Practice address
- 240 W 73Rd St
New York, NY 10023-2700 - Phone
- (212) 362-4742
- Fax
- (212) 412-9043
- NPI assigned
- May 21, 2015
- Last updated
- Aug 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pooja Khanna, DO
- Title
- Director of Operations
- Phone
- (603) 943-3758
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | NU | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 240678 | NY | Primary |
Addresses
Primary practice location
240 W 73Rd St
New York, NY 10023-2700
Mailing address
240 W 73Rd St
New York, NY 10023-2700
Phone (212) 362-4742
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942572912 | Other | NY | BILLING NPI |
| 7360090001 | Other | NY | MEDICARE |
| 1538189642 | Other | NY | NPI |
| 240678-3W | Other | NY | NYS WORKERS' COMPENSATION BOARD |
Other names 1
- Integrative Spine and Sports
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1538189642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1376922542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 73RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232700",
"telephone_number": "212-362-4742",
"fax_number": "212-787-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 73RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232700",
"telephone_number": "212-362-4742",
"fax_number": "212-412-9043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONALI LAL PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-21",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "KHANNA",
"authorized_official_first_name": "POOJA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "603-943-3758",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "240678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING NPI",
"identifier": "1942572912",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "7360090001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1538189642",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS WORKERS' COMPENSATION BOARD",
"identifier": "240678-3W",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Spine and Sports",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.