WADIE TOMA MD
NPI 1821163437
Internal Medicine - Rheumatology in Old Bridge, NJ

Q: What is Wadie Toma's NPI number?

The NPI number for Wadie Toma is 1821163437. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Wadie Toma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Wadie Toma was last updated on May 4, 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.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

91.84/100

CMS Quality Rating

3 HOSPITAL PLZ, SUITE 409, OLD BRIDGE, NJ 08857(732) 869-1002(732) 869-1012 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Wadie Toma Md NPPES

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

WADIE TOMA MD (NPI 1821163437) is an individual rheumatology provider in Old Bridge, New Jersey, licensed in New Jersey (MA59515) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1821163437

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameWADIE TOMACredential: MD

Location Address3 HOSPITAL PLZ, SUITE 409Old Bridge, NJ 08857-3093

Mailing AddressPo Box 366Monmouth Junction, NJ 08852-0366 · (732) 869-1002 · Fax (732) 869-1012

Phone(732) 869-1002

Fax(732) 869-1012

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateNovember 21, 2006

Last NPPES UpdateMay 4, 2022

NPPES CertifiedMay 4, 2022

✔ NPI 1821163437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NJ · MA59515

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.

3 HOSPITAL PLZ, Old Bridge, NJ 08857

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Other Identifiers 1

Medicaid8213402NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Wadie Toma Md 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 ID9638165079

PECOS Enrollment IDI20040422001261

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

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

Center For Arthritis & Rheumatism, LLC

13 mi

Rheumatology

904 OAK TREE AVE, SUITE D
South Plainfield, NJ 07080

Reassigned Medicare billing, New Jersey enrollment

NPI 1710048905 (732) 869-1002

The Radiology Group Of New Jersey, LLC

42 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

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 14

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

85,201 services25 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

15,051 services20 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

9,540 services94 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

8,540 services15 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.

1,610 services786 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,197 services538 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

876 services135 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.

820 services62 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

291 services39 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

185 services78 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.

148 services148 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

126 services126 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

66 services36 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.

35 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

91.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

90.61

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

100%10,042 patients5/55-star benchmark: 100%

e-Prescribing

91%4,969 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

79%1,585 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

95%4,088 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

77%4,084 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

28%3,783 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 86% · 3,051 patients

Patients screened: 94% · 3,051 patients

0%270 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%2,015 patients4/55-star benchmark: 100%

Support Electronic Referral Loops By Sending Health Information

90%2,359 patients4/55-star benchmark: 97%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients totalRate: 0% · 1,585 patients

0%1,585 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

LEADING MEDICAL CARE LLC

Clinic/Center (Primary Care)

3 HOSPITAL PLZ, SUITE 409
OLD BRIDGE, NJ 08857

Middlesex County (973) 975-3084

RARITAN BAY INFECTIOUS DISEASES CONSULTANTS,PA

Specialist

3 HOSPITAL PLZ, SUITE 208
OLD BRIDGE, NJ 08857

Middlesex County (732) 360-2700

COASTAL MEDICAL GROUP PA

Internal Medicine

3 HOSPITAL PLZ, SUITE 315
OLD BRIDGE, NJ 08857

Middlesex County (732) 360-1500

STEPHANIE RENEE MISTRETTA MSN, APRN, ACNPC-AG

Nurse Practitioner (Acute Care)

3 HOSPITAL PLZ
OLD BRIDGE, NJ 08857

Middlesex County (732) 360-2700

HEALTHCARE PAIN & REHABILITATION INC

Clinic/Center (Pain)

3 HOSPITAL PLZ, STE 309
OLD BRIDGE, NJ 08857

Middlesex County (732) 607-9000

HEALTHCARE PAIN & REHABILITATION

Specialist

3 HOSPITAL PLZ, SUITE 309
OLD BRIDGE, NJ 08857

Middlesex County (732) 607-9000

MICHAEL SCHMIERER DPM

Podiatrist (Foot & Ankle Surgery)

3 HOSPITAL PLZ, STE 314
OLD BRIDGE, NJ 08857

Middlesex County (732) 360-9200

PREMIER UROLOGY GROUP LLC

Specialist

3 HOSPITAL PLZ, SUITE 200
OLD BRIDGE, NJ 08857

Middlesex County (732) 679-2010

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 Wadie Toma's NPI number?

The NPI number for Wadie Toma is 1821163437. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Wadie Toma located?

Wadie Toma practices at 3 Hospital Plz Suite 409, Old Bridge, NJ 08857. The listed phone number is (732) 869-1002.

What is Wadie Toma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Wadie Toma enrolled in Medicare?

Yes. Wadie Toma 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 Wadie Toma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wadie Toma reassigns Medicare benefits to 2 organizations: Center For Arthritis & Rheumatism, LLC (South Plainfield, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, 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 Wadie Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wadie Toma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Wadie Toma 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 Wadie Toma affiliated with any hospitals?

According to CMS data, Wadie Toma is affiliated with St Joseph's University Medical Center Inc, Riverview Medical Center, Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Wadie Toma was last updated on May 4, 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.