1. Home
  2. Directory
  3. New Jersey
  4. Toms River
  5. Internal Medicine
  6. NPI Profile

DR. SADIA GHAFOOR DO
NPI 1275722951
Internal Medicine - Rheumatology in Toms River, NJ

Active since October 18, 2007PECOS EnrolledAccepts Medicare Assignment
508 LAKEHURST RD, SUITE IA, TOMS RIVER, NJ 08755(732) 431-4335(732) 431-4771 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1275722951
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SADIA GHAFOORCredential: DO
Location Address508 LAKEHURST RD, SUITE IAToms River, NJ 08755-8000
Mailing AddressPo Box 7378Freehold, NJ 07728-7378 · (732) 431-4335 · Fax (732) 431-4771
Phone(732) 431-4335
Fax(732) 431-4771
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2004
Enumeration DateOctober 18, 2007
Last NPPES UpdateAugust 31, 2010
✔ NPI 1275722951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · 25MB08259000
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedHospitalistTaxonomy 208M00000X · License 25MB08259000 (NJ)
508 LAKEHURST RD, Toms River, NJ 08755
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3577652635
PECOS Enrollment IDI20101214000545
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.

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.

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.
66 services50 patients
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.
63 services33 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
63 services36 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.
60 services60 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
55 services41 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
28 services12 patients

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.

Other Providers at the Same Location NPPES 6

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

DR. NAJIB MICHAEL ALTURK M.D.
Specialist
508 LAKEHURST RD, 2B
TOMS RIVER, NJ 08755
Ocean County (732) 281-6101
BEELEIN LIN M.D. P.C.
Ophthalmology
508 LAKEHURST RD, BUILDING 2A
TOMS RIVER, NJ 08755
Ocean County (732) 240-3322
MIDSTATE RHEUMATOLOGY CENTER
Internal Medicine (Rheumatology)
508 LAKEHURST RD, SUITE 1 A
TOMS RIVER, NJ 08755
Ocean County (732) 431-4335
DOVER PULMONARY ASSOCIATES, P.A.
Specialist
508 LAKEHURST RD, SUITE 1A
TOMS RIVER, NJ 08755
Ocean County (732) 244-5864
DR. SAWSAN SAID NAJMEY MD
Internal Medicine (Rheumatology)
508 LAKEHURST RD, SUITE 1 A
TOMS RIVER, NJ 08755
Ocean County (732) 431-4335
NAJIB MICHAEL ALTURK, M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
508 LAKEHURST RD, SUITE 2B
TOMS RIVER, NJ 08755
Ocean County (732) 281-6101

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.

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 15 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.