Individual provider Active NPI

Allison Carrie Ray, M.D.

  • Pediatrics Physician
  • Enola, PA
National Provider Identifier
1114108107
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD434001 Issued in PA
Practice address
1824 Good Hope Road
Suite 201
Enola, PA 17025-1233
Phone
(717) 791-2680
Fax
(717) 791-2686
NPI assigned
Nov 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD434001 PA Primary

Addresses

Primary practice location

1824 Good Hope Road
Suite 201
Enola, PA 17025-1233

Mailing address

1824 Good Hope Road
Suite 201
Enola, PA 17025-1233
Phone (717) 791-2680

Other identifiers 1

IdentifierTypeStateIssuer
1021730870001MedicaidPA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD434001PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JDC Pediatrics Pediatrics CurrentSince Nov 15, 2020 Accepting new patients
Pediatric Acute Care Services Pediatrics Past Accepting new patients

Locations

25 W Shore Dr
Camp Hill, PA 17011
Phone (717) 791-2680

1824 Good Hope Rd
#201
Enola, PA 17025
Phone (717) 791-2680

Interoperability endpoints

  • Direct secure messaging: aray@jdcpediatrics.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1114108107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE ROAD",
            "address_2": "SUITE 201",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-791-2680",
            "fax_number": "717-791-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE ROAD",
            "address_2": "SUITE 201",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-791-2680",
            "fax_number": "717-791-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ALLISON",
        "middle_name": "CARRIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD434001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021730870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.