Individual provider Active NPI

Jason Michael Grey, C.M.P.

  • Podiatric Assistant
  • Buffalo, NY
National Provider Identifier
1083067839
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
License
25GR1400966 Issued in NY
Practice address
1515 Kensington Ave
10
Buffalo, NY 14215-1436
Phone
(716) 235-3252
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X 25GR1400966 NY Primary

Addresses

Primary practice location

1515 Kensington Ave
10
Buffalo, NY 14215-1436

Mailing address

388 Windermere Blvd
Amherst, NY 14226-2823
Phone (716) 907-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25GR1400966NYMDPodiatric Assistant

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1083067839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WINDERMERE BLVD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262823",
            "telephone_number": "716-907-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KENSINGTON AVE",
            "address_2": "10",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151436",
            "telephone_number": "716-235-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "C.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "NY",
            "license": "25GR1400966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.