Organization Active NPI

Gray Consulting Services, Inc

  • Psychiatry Physician
  • New Providence, NJ
National Provider Identifier
1639321946
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07931200 Issued in NJ
Legal business name
GRAY CONSULTING SERVICES, INC
Practice address
1253 Springfield Ave
New Providence, NJ 07974-2931
Phone
(201) 348-2211
Fax
(201) 348-2213
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Sonja Gray, MDNPI 1043304108
Title
Owner
Phone
(201) 348-2211

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA07931200 NJ Primary

Addresses

Primary practice location

1253 Springfield Ave
New Providence, NJ 07974-2931

Mailing address

1253 Springfield Ave
New Providence, NJ 07974-2931
Phone (201) 348-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000160 NJ Part B Supplier - Clinic/Group Practice 1759444003 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

1253 Springfield Ave
#303
New Providence, NJ 07974

1253 Springfield Ave
New Providnce, NJ 07974
Phone (201) 348-2211

Practitioners & affiliated clinicians

Practitioners 1

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": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1639321946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742931",
            "telephone_number": "201-348-2211",
            "fax_number": "201-348-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742931",
            "telephone_number": "201-348-2211",
            "fax_number": "201-348-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CONSULTING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-348-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07931200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.