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DR. SANFORD MALLIN MD
NPI 1043307077
Specialist in Staten Island, NY

Active since October 10, 2006PECOS Enrolled
107 NELSON AVE, STATEN ISLAND, NY 10308(718) 356-3411(718) 356-6900 Get Directions Write a Review

NPPES record last updated: October 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Sanford Mallin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANFORD MALLIN MD (NPI 1043307077) is an individual specialist in Staten Island, New York, licensed in New York (124625) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043307077
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SANFORD MALLINCredential: MD
Location Address107 NELSON AVEStaten Island, NY 10308-2710
Mailing Address107 Nelson AveStaten Island, NY 10308-2710 · (718) 356-3411 · Fax (718) 356-6900
Phone(718) 356-3411
Fax(718) 356-6900
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 1, 2016
✔ NPI 1043307077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 124625
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
107 NELSON AVE, Staten Island, NY 10308
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Other Identifiers 2

Medicare UPINC09129
Medicare PIN359312NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanford Mallin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services22 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers33 claims58 services$6.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanford Mallin's NPI number?

The NPI number for Sanford Mallin is 1043307077. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Sanford Mallin located?

Sanford Mallin practices at 107 Nelson Ave, Staten Island, NY 10308. The listed phone number is (718) 356-3411.

What is Sanford Mallin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sanford Mallin enrolled in Medicare?

Yes. Sanford Mallin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanford Mallin was last updated on October 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.