DR. SONYA MALANI O.D.
NPI 1043682297
Optometrist in Madison, NJ

Active since October 28, 2015PECOS EnrolledAccepts Medicare Assignment
311 MAIN ST, MADISON, NJ 07940(973) 377-1060 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sonya Malani O.d. NPPES

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

DR. SONYA MALANI O.D. (NPI 1043682297) is an individual optometrist in Madison, New Jersey, licensed in New Jersey (27OA00662600) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043682297
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SONYA MALANICredential: O.D.
Location Address311 MAIN STMadison, NJ 07940-2338
Mailing Address311 Main StMadison, NJ 07940-2338 · (973) 377-1060
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 28, 2015
Last NPPES UpdateDecember 22, 2016
NPI 1043682297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NJ · 27OA00662600 Licensed in NY · TUV008295-1
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
311 MAIN ST, Madison, NJ 07940

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sonya Malani O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173937752
PECOS Enrollment IDI20210121001695
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
311 MAIN ST
MADISON, NJ 07940
Optometrist
311 MAIN ST
MADISON, NJ 07940
Optometrist (Corneal and Contact Management)
311 MAIN ST
MADISON, NJ 07940

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 Sonya Malani's NPI number?

The NPI number for Sonya Malani is 1043682297. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Sonya Malani located?

Sonya Malani practices at 311 Main St, Madison, NJ 07940. The listed phone number is (973) 377-1060.

What is Sonya Malani's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sonya Malani enrolled in Medicare?

Yes. Sonya Malani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sonya Malani accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Sonya Malani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sonya Malani was last updated on December 22, 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.