But NPM has a much, much bigger problem on the client side, that makes many of these mitigations almost moot. And that is that `npm install` will upgrade every single package you depend on to its latest version that matches your declared dependency, and in JS land almost everyone uses lax dependency declarations.
So, an attacker who simply publishes a new patch version of a package they have gained access to will likely poison a good chunk of all of the users of that package in a relatively short amount of time. Even if the projects using this are careful and use `npm ci` instead of `npm install` for their CI builds, it will still easily get developers to download and run the malicious new version.
Most other ecosystems don't have this unsafe-by-default behavior, so deploying a new malicious version of a previously safe package is not such a major risk as it is in NPM.