Organization Active NPI

Gregory Ray Thomaier DC PC

  • Sports Physician Chiropractor
  • Saint James, NY
National Provider Identifier
1124328141
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X007863 Issued in NY
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

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Gregory Ray Thomaier, DCNPI 1992725113
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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.