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PRIYA SAHAY M.D.
NPI 1255781548
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toms River, NJ

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
216 COMMONS WAY BLDG B, TOMS RIVER, NJ 08755(732) 505-9193 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2022, Jun 17, 2019, Jun 16, 2016 (3 updates tracked since 2016).

About Priya Sahay M.d. NPPES

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

PRIYA SAHAY M.D. (NPI 1255781548) is an individual endocrinology, diabetes & metabolism provider in Toms River, New Jersey, licensed in New Jersey (25MA11132000) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Manahawkin.

NPPES Registry Identity

NPI1255781548
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePRIYA SAHAYCredential: M.D.
Location Address216 COMMONS WAY BLDG BToms River, NJ 08755-6427
Mailing Address41 Nautilus DrManahawkin, NJ 08050-2448 · (609) 978-0474
Phone(732) 505-9193
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateJune 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1255781548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA11132000
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
216 COMMONS WAY BLDG B, Toms River, NJ 08755
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Secondary Practice Location 1

Location 124 Nautilus Dr Ste 7&8Manahawkin, NJ 08050-2490 · Phone (609) 978-0474

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

Priya Sahay M.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 ID4789087636
PECOS Enrollment IDI20210729001685
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

2

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

Barnegat Medical Associates P A
15 mi
Internal Medicine
44 NAUTILUS DR STE 2B
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1972639474 (609) 978-0474
Valley Physician Services PC
67 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

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 3

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.
667 services270 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
115 services115 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
82 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
9 suppliers17 claims70 services$4.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers85 claims85 services$184.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Priya Sahay's NPI number?

The NPI number for Priya Sahay is 1255781548. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Priya Sahay located?

Priya Sahay practices at 216 Commons Way Bldg B, Toms River, NJ 08755. The listed phone number is (732) 505-9193.

What is Priya Sahay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Priya Sahay enrolled in Medicare?

Yes. Priya Sahay 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 Priya Sahay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Sahay reassigns Medicare benefits to 2 organizations: Barnegat Medical Associates P A (Manahawkin, NJ) and Valley Physician Services PC (Paramus, 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 Priya Sahay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Priya Sahay affiliated with any hospitals?

According to CMS data, Priya Sahay is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Sahay was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.