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

Q: 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.

Q: What is Sonya Malani's specialty?

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

Q: 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.

Active since October 28, 2015PECOS Enrolled

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: October 25, 2026.

On this page

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.

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

Phone(973) 377-1060

Sole ProprietorYes

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sonya Malani O.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Sonya Malani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paul Naftali O D P A

Same address

Corneal and Contact Management

311 MAIN ST
Madison, NJ 07940

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1508053760 (973) 377-1060

Oakland Vision Center Doctors Office, LLC

21 mi

Optometrist

350 RAMAPO VALLEY RD
Oakland, NJ 07436

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1336696749 (201) 651-1212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AGG OPTICAL INC.

Optometrist

311 MAIN ST
MADISON, NJ 07940

Morris County (973) 377-1060

DR. PAUL E. NAFTALI O.D.

Optometrist

311 MAIN ST
MADISON, NJ 07940

Morris County (973) 377-1060

PAUL NAFTALI O D P A

Optometrist (Corneal and Contact Management)

311 MAIN ST
MADISON, NJ 07940

Morris County (973) 377-1060

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 enrollment system.

Which organizations bill Medicare for Sonya Malani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Malani reassigns Medicare benefits to 2 organizations: Paul Naftali O D P A (Madison, NJ) and Oakland Vision Center Doctors Office, LLC (Oakland, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonya Malani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonya Malani accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers 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.