Individual provider Active NPI

Sonali Tatapudy

  • Pediatric Hospice and Palliative Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1619322831
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
25MA12005200 Issued in NJ
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

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211101000026 CA Practitioner - Pediatric Medicine 8729324165 Reassigns benefits to 3 organizations
I20240227000901 NJ Practitioner - Pediatric Medicine 8729324165 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A170498CAMDHospice and Palliative Medicine (Family Medicine) Physician
25MA12005200NJMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Oct 16, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Pediatrics CurrentSince Jan 14, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 16, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 14, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 16, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Oct 16, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Oct 16, 2021 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

  • Direct secure messaging: statapudy128436@direct-ucsfmedicalcenter.org
  • Direct secure messaging: sonali.tatapudy@direct.hackensackmeridian.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.