Individual provider Active NPI

Sadia Ghaffar, M.D.

  • Psychiatric Hospital
  • Delran, NJ
National Provider Identifier
1154582500
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Practice address
1 Waters Edge Dr
Delran, NJ 08075-1895
Phone
(856) 495-8927
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 25MA09158700 NJ
Psychiatry Physician 2084P0800X 25MA09158700 NJ
General Practice Physician 208D00000X 25MA09158700 NJ
Psychiatric Residential Treatment Facility 323P00000X 25MA09158700 NJ
Psychiatric Hospital 283Q00000X NJ Primary

Addresses

Primary practice location

1 Waters Edge Dr
Delran, NJ 08075-1895

Mailing address

1 Waters Edge Dr
Delran, NJ 08075-1895
Phone (856) 495-8927

Other practice location 1

8008 Route 130 Bldg B
Delran, NJ 08075-1869
Phone (609) 890-1050

Other identifiers 1

IdentifierTypeStateIssuer
0322491MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000373 NJ Practitioner - Psychiatry 7517111503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

8008 Route 130
BLDG B
Delran, NJ 08075-1869
Phone (609) 890-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09158700NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll Psychiatric Hospital CurrentSince Sep 21, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll Psychiatric Hospital CurrentSince Sep 21, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1154582500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATERS EDGE DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751895",
            "telephone_number": "856-495-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATERS EDGE DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751895",
            "telephone_number": "856-495-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 Route 130 Bldg B",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080751869",
            "country_code": "US",
            "telephone_number": "609-890-1050",
            "fax_number": "609-890-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAFFAR",
        "first_name": "SADIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "25MA09158700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09158700",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA09158700",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NJ",
            "license": "25MA09158700",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.