Active NPI
Sowmya Shashidhara
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1841988490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 450 Clarkson Ave MSC
#49
Brooklyn, NY 11203 - Phone
- (718) 270-2078
- NPI assigned
- May 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Pediatric Endocrinology Physician | 2080P0205X | MT236095 | PA |
Addresses
Primary practice location
450 Clarkson Ave MSC
#49
Brooklyn, NY 11203
Mailing address
Suny Downstate Medical Center
450 Clarkson Avenue, Box 49, Brooklyn
New York, NY 11203
Phone (718) 270-2078
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1841988490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUNY DOWNSTATE MEDICAL CENTER",
"address_2": "450 CLARKSON AVENUE, BOX 49, BROOKLYN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE MSC",
"address_2": "#49",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-2078"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-3174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHASHIDHARA",
"first_name": "SOWMYA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "PA",
"license": "MT236095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.