MALLORY SIN (LDN, RD) – Registered Dietitian, NPI 1821426826

MALLORY SIN (LDN, RD) is a healthcare provider. based in Roxbury, Massachusetts. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials LDN, RD. They hold a License No. 1076733 (MA). The NPI Number for MALLORY SIN (LDN, RD) is 1821426826

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY SIN (LDN, RD)
NPI
1821426826
Phone
(617) 427-1000
Address
1290 Tremont St
Enumeration Date
29 October 2013
Last Update Date
27 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176454910
Graduation Year
2012 (14 years ago)
PAC ID
2769724871
Group Practice PAC ID
6901163369
Professional Enrollment ID
I20190419000524
Address ID
MA020266148DE3XXXXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

247 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MA

Provider Addresses for MALLORY SIN (LDN, RD)

  • 1290 Tremont St

    Roxbury, MA 021203432

    Phone: (617) 427-1000

    Type: Location

  • 1290 TREMONT ST

    ROXBURY, MA 021203432

    Phone:

    Type: Mailing

  • ONE JOSLIN PLACE

    BOSTON, MA 022153432

    Phone: (917) 825-0376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190419000524IRegistered Dietitian Or Nutrition ProfessionalMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901163369View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalMA
Registered Dietitian Or Nutrition ProfessionalMA

Reviews

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Frequently asked questions

What number should I use to identify MALLORY SIN (LDN, RD) for billing?
Administrative and clinical systems typically use NPI 1821426826 for MALLORY SIN (LDN, RD).
Is MALLORY SIN (LDN, RD) currently accepting referrals based on NPI status?
Registry metadata lists MALLORY SIN (LDN, RD) as active.
How should patients interpret MALLORY SIN (LDN, RD)'s specialty?
The extract shows Registered Dietitian for MALLORY SIN (LDN, RD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MALLORY SIN (LDN, RD)?
MALLORY SIN (LDN, RD) is associated with Roxbury, Massachusetts in the same public data insurers reference.
Who maintains MALLORY SIN (LDN, RD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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