Active NPI
Sonali Tatapudy
- Pediatric Hospice and Palliative Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hospice and Palliative Medicine Physician
- License
- 25MA12005200
- Practice address
- 30 Prospect Ave Ste 3
Hackensack, NJ 07601-1915 - Phone
- (551) 996-3283
- NPI assigned
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | A170498 | CA | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 25MA12005200 | NJ | Primary |
| Pediatrics Physician | 208000000X | A170498 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 25MA12005200 | NJ |
Addresses
Primary practice location
30 Prospect Ave Ste 3
Hackensack, NJ 07601-1915
Mailing address
3600 Route 66 FL 3
Neptune, NJ 07753-2645
Other practice location 1
550 16th Street
San Francisco, CA 94143
Phone (415) 514-4079
Other practice location 2
1249 Park Ave # 2F1
New York, NY 10029-7219
Phone (845) 323-3649
Other practice location 3
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 353-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170498 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 25MA12005200 | NJ | MD | Pediatric Hospice and Palliative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Pediatrics | Current | Accepting new patients |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Pediatrics | Past | Accepting new patients |
Locations
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
550 16th St
San Francisco, CA 94143
Phone (415) 353-1238
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100
30 Prospect Ave
Ste 3
Hackensack, NJ 07601
Phone (551) 996-2237
30 Prospect Ave
Fl 3
Hackensack, NJ 07601
Phone (551) 996-2331
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
Interoperability endpoints
- statapudy128436@direct-ucsfmedicalcenter.org
- sonali.tatapudy@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 9
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.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Pediatrics
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Pediatrics
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1619322831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 ROUTE 66 FL 3",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE STE 3",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-3283"
}
],
"practiceLocations": [
{
"address_1": "550 16th Street",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94143",
"country_code": "US",
"telephone_number": "415-514-4079",
"fax_number": "415-476-5354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 Park Ave # 2F1",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297219",
"country_code": "US",
"telephone_number": "845-323-3649",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 Parnassus Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-353-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATAPUDY",
"first_name": "SONALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A170498",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "NJ",
"license": "25MA12005200",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A170498",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA12005200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.