Organization Active NPI

Sharad Soni Physician P.C.

  • Internal Medicine Physician
  • Ozone Park, NY
National Provider Identifier
1457544785
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192896 Issued in NY
Legal business name
SHARAD SONI PHYSICIAN P.C.
Practice address
9540 102ND St FL 1
Ozone Park, NY 11416-1712
Phone
(718) 641-5555
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Dr. Sharad N Soni, M.D.NPI 1295701357
Title
Owner
Phone
(718) 641-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 192896 NY Primary

Addresses

Primary practice location

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

Mailing address

29 Lake Dr
Manhasset Hills, NY 11040-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071126000497 NY Part B Supplier - Clinic/Group Practice 7012005127 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Manhasset, NY; North Hills, NY; Ozone Park, NY

National Provider Directory

National Provider Directory

Locations

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

600 Community Dr
Ste 304
Manhasset, NY 11030
Phone (516) 823-8010

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

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1457544785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAKE DR",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401122"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD SONI PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-641-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.