Individual provider Active NPI

Thomas Gray, DC CCN DACN DACBN

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1023190287
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00254300 Issued in NJ
Practice address
683 Bay Ave
Toms River, NJ 08722
Phone
(732) 244-2225
Fax
(732) 244-5256
NPI assigned
Oct 19, 2006
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00254300 NJ Primary

Addresses

Primary practice location

683 Bay Ave
Toms River, NJ 08722

Mailing address

683 Bay Ave
Toms River, NJ 08753
Phone (732) 244-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000711 NJ Practitioner - Chiropractic 1153486758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beylea Chiropractic CenterGroup PAC ID 4284882614, 2 clinicians

Practice addresses (Care Compare)

683 Bay Ave
Toms River, NJ 08753-3407
Phone (732) 244-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00254300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beylea Chiropractic Center Chiropractor CurrentSince Jul 4, 2012 Accepting new patients
Beylea Chiropractic Centre Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

683 Bay Ave
Toms River, NJ 08753
Phone (732) 244-2225

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1023190287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BAY AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-244-2225",
            "fax_number": "732-244-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BAY AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08722",
            "telephone_number": "732-244-2225",
            "fax_number": "732-244-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "THOMAS",
        "credential": "DC CCN DACN DACBN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00254300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.