DR. SADIA GHAFOOR DO
NPI 1275722951
Internal Medicine - Rheumatology in Toms River, NJ
About Dr. Sadia Ghafoor Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SADIA GHAFOOR DO (NPI 1275722951) is an individual rheumatology provider in Toms River, New Jersey, licensed in New Jersey (25MB08259000) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Sadia Ghafoor Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Sadia Ghafoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ewing, NJ 08618
- Reassigned Medicare billing, New Jersey enrollment
- 80 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 8
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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
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 Sadia Ghafoor's NPI number?
The NPI number for Sadia Ghafoor is 1275722951. It was assigned to this individual provider in the NPPES registry on October 18, 2007.
Where is Sadia Ghafoor located?
Sadia Ghafoor practices at 508 Lakehurst Rd Suite Ia, Toms River, NJ 08755. The listed phone number is (732) 431-4335.
What is Sadia Ghafoor's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Sadia Ghafoor enrolled in Medicare?
Yes. Sadia Ghafoor 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 organization bills Medicare for Sadia Ghafoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sadia Ghafoor reassigns Medicare benefits to Azz Medical Associates PC (Ewing, NJ). The 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 Sadia Ghafoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sadia Ghafoor was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Sadia Ghafoor, DO · NPI 1275722951
Rheumatology physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since October 18, 2007.
## Identity
- **NPI:** 1275722951 (Entity type: Individual)
- **Enumerated:** October 18, 2007
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 25MB08259000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 508 LAKEHURST RD, SUITE IA, Toms River, NJ 08755-8000
- **Phone:** (732) 431-4335 · **Fax:** (732) 431-4771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Azz Medical Associates PC (NPI 1699704809, Ewing, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2004
## Record status
- **NPPES last updated:** August 31, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1275722951) · Data from the CMS NPPES public registry.