SANDRA FAHMY D.O.
NPI 1144317439
Family Medicine in Old Bridge, NJ

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
2433 COUNTY HIGHWAY 516, SUITE 3B, OLD BRIDGE, NJ 08857(732) 360-0287(732) 360-1279 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandra Fahmy D.o. NPPES

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

SANDRA FAHMY D.O. (NPI 1144317439) is an individual family medicine provider in Old Bridge, New Jersey, licensed in New Jersey (25MB07898500) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1144317439
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA FAHMYCredential: D.O.
Location Address2433 COUNTY HIGHWAY 516, SUITE 3BOld Bridge, NJ 08857
Mailing AddressPo Box 48270Newark, NJ 07101-4800 · (201) 818-9118
Fax(732) 360-1279
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2003
Enumeration DateOctober 6, 2006
Last NPPES UpdateApril 16, 2008
✔ NPI 1144317439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB07898500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2433 COUNTY HIGHWAY 516, Old Bridge, NJ 08857

Other Identifiers 9

Other6D0891NJ · Empire Bcbs #
OtherP3720931NJ · Oxford #
Other2835304000NJ · Amerihealth #
Medicare UPINI68620NJ
Other3K5104NJ · Healthnet #
Medicare PIN107416TDXNJ
OtherP00381706NJ · Rr Mdcr #
Other1454681NJ · Aetna Hmo #
Other7314878NJ · Aetna Ppo #

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Fahmy D.o. 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 ID8921100371
PECOS Enrollment IDI20070303000016
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

3

Medicare enrollment records show Sandra Fahmy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
317 GEORGE ST, FIRST FLOOR
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 60 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.
422 services167 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
72 services71 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
47 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
35 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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
5 suppliers11 claims36 services$6.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Specialist
2433 COUNTY HIGHWAY 516, SUITE 3B
OLD BRIDGE, NJ 08857
Family Medicine
2433 COUNTY HIGHWAY 516, SUITE 3B
OLD BRIDGE, NJ 08857

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 Sandra Fahmy's NPI number?

The NPI number for Sandra Fahmy is 1144317439. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Sandra Fahmy located?

Sandra Fahmy practices at 2433 County Highway 516 Suite 3B, Old Bridge, NJ 08857. The listed phone number is (732) 360-0287.

What is Sandra Fahmy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandra Fahmy enrolled in Medicare?

Yes. Sandra Fahmy 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.

Which organizations bill Medicare for Sandra Fahmy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Fahmy reassigns Medicare benefits to 3 organizations: Rutgers Health-Pcc Monument Square (New Brunswick, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Rwjbh Primary Care Services (West Orange, 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 Sandra Fahmy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Fahmy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sandra Fahmy 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.

Is Sandra Fahmy affiliated with any hospitals?

According to CMS data, Sandra Fahmy is affiliated with Raritan Bay Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Fahmy was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.