Individual provider Active NPI

Susan Jo Gray, APN

  • Psychiatry Physician
  • Flemington, NJ
National Provider Identifier
1063873222
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26NJ00604400 Issued in NJ
Practice address
190 Highway 31 Ste 100
Flemington, NJ 08822-5773
Phone
(908) 788-6654
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26NJ00604400 NJ Primary
Psychiatric Hospital 283Q00000X 26NJ00604400 NJ

Addresses

Primary practice location

190 Highway 31 Ste 100
Flemington, NJ 08822-5773

Mailing address

215 State Route 31 RM 116
Flemington, NJ 08822-5752
Phone (908) 284-1125

Other practice location 1

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

Other names 1

  • Ms. Susan Jo Wanderman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160509000089 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 5395714257 Reassigns benefits to 1 organization
I20200306001130 NJ Practitioner - Nurse Practitioner 5395714257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians
Fair Medical Services LLCGroup PAC ID 4385938711, 2 clinicians

Practice addresses (Care Compare)

1251 Route 22
Bridgewater, NJ 08807-2916
Phone (908) 237-4108

1760 Whitehorse Hamilton Square Rd
Suite 1
Hamilton, NJ 08690-3535
Phone (609) 890-8200

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
80.39
Promoting interoperability
97
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 1, 2023 Accepting new patients
Hunterdon Medical Center Psychiatry CurrentSince Jan 27, 2020 Accepting new patients
HMH Carrier Behavioral Health Inc Psychiatric Hospital CurrentSince Apr 18, 2016 Accepting new patients
Fair Medical Services LLC CurrentSince Mar 29, 2025 Accepting new patients
Hunterdon Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hunterdon Specialty Care, PC Psychiatry Past Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

1760 Whitehorse Hamilton Square Rd
Ste 1
Trenton, NJ 08690
Phone (609) 520-0190

112 Franklin Corner Rd
Trenton, NJ 08648
Phone (609) 895-0158

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1063873222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STATE ROUTE 31 RM 116",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225752",
            "telephone_number": "908-284-1125",
            "fax_number": "908-284-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HIGHWAY 31 STE 100",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225773",
            "telephone_number": "908-788-6654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Route 601",
            "address_purpose": "LOCATION",
            "city": "Belle Mead",
            "state": "NJ",
            "postal_code": "085023923",
            "country_code": "US",
            "telephone_number": "908-281-1000",
            "fax_number": "908-281-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SUSAN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ00604400",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "26NJ00604400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WANDERMAN",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.