Individual provider Active NPI

Sonya Malani, O.D.

  • Optometrist
  • Madison, NJ
National Provider Identifier
1043682297
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00662600 Issued in NJ
Practice address
311 Main St
Madison, NJ 07940-2338
Phone
(973) 377-1060
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00662600 NJ Primary
Optometrist 152W00000X TUV008295-1 NY

Addresses

Primary practice location

311 Main St
Madison, NJ 07940-2338

Mailing address

311 Main St
Madison, NJ 07940-2338
Phone (973) 377-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121001695 NJ Practitioner - Optometry 3173937752 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008295-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Naftali O D P a CurrentSince Jan 14, 2021 Accepting new patients
Oakland Vision Center Doctors Office, LLC Optometrist CurrentSince Mar 27, 2024 Accepting new patients
Agg Optical Inc. Optometrist PastSince Jan 14, 2021 Accepting new patients

Locations

311 Main St
Madison, NJ 07940
Phone (973) 363-3210

350 Ramapo Valley Rd
Ste 21
Oakland, NJ 07436
Phone (201) 651-1212

Organizations & group practices 3

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1043682297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402338",
            "telephone_number": "973-377-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402338",
            "telephone_number": "973-377-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANI",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008295-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.