Active NPI
Gregory Ray Thomaier DC PC
- Sports Physician Chiropractor
- Saint James, NY
National Provider Identifier
1124328141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X007863
- Legal business name
- GREGORY RAY THOMAIER DC PC
- Practice address
- 338 Lake Ave
Saint James, NY 11780-2276 - Phone
- (631) 584-8100
- Fax
- (631) 584-9436
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Ray Thomaier, DC
- Title
- President/Chiropractor
- Phone
- (631) 584-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X007863 | NY | Primary |
Addresses
Primary practice location
338 Lake Ave
Saint James, NY 11780-2276
Mailing address
338 Lake Ave
Saint James, NY 11780-2276
Phone (631) 584-8100
Other names 1
- Chiropractic Healthcare of St. James
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120119000341 | NY | Part B Supplier - Clinic/Group Practice | 6406023209 |
Receives reassigned benefits from 1 practitioner Practice locations: St. James, NY |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- dr.greg@chos0001.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Saint James, NY
- NPI 1992725113
NY, Sports Physician
-
- Chiropractor
- Saint James, NY
- NPI 1548441074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1124328141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 LAKE AVE",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117802276",
"telephone_number": "631-584-8100",
"fax_number": "631-584-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 LAKE AVE",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117802276",
"telephone_number": "631-584-8100",
"fax_number": "631-584-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY RAY THOMAIER DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "THOMAIER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
"authorized_official_telephone_number": "631-584-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X007863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chiropractic Healthcare of St. James",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.