Shashibala Soni, MD .FA.C.C. FACP

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

128754 Issued in NY

Practice address

944 N Broadway Ste 202
Yonkers, NY 10701-1316

Phone

(917) 942-8825

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Tristate Medical Care PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1972693315
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1477648434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604301",
            "telephone_number": "917-584-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 202",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011316",
            "telephone_number": "917-942-8825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104681247",
            "country_code": "US",
            "telephone_number": "917-942-8825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 Nelson Ave Apt 5B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104521764",
            "country_code": "US",
            "telephone_number": "347-988-4504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONI",
        "first_name": "SHASHIBALA",
        "name_prefix": "Dr.",
        "credential": "MD .FA.C.C. FACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "128754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00352878",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "address_1": "1465 Nelson Ave Apt 5B",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104521764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1465 Nelson Ave Apt 5B",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104521764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Solvene Supply Inc.
• Hwa Jung Son, MD
• Jae Han Song, RPH
• Sophia Suhyun Song, L.AC
• Anju Soni, MD
• Sonidos Evaluation and Therapy Services
• Judith Sonnessie, LCSW
• Antonio Soriano, LMT
• Clara Soriano, RN
• Pauline Anne Olivar Soriano

• Cardiovascular Disease Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.