Ieisha M Gray, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00492200 Issued in NJ

Practice address

1911 Grand Ave Apt 3E
North Bergen, NJ 07047-2053

Phone

(201) 348-5010

Fax

(201) 330-1017

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 GRAND AVE APT 3E",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472053",
            "telephone_number": "201-348-5010",
            "fax_number": "201-330-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 GRAND AVE APT 3E",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472053",
            "telephone_number": "201-348-5010",
            "fax_number": "201-330-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "IEISHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00492200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Gordon, MD
• Tanmay Pradip Gosalia, D.O., M.P.H., M.A.
• Hector Gouyonnet
• Norma E Gouyonnet, NP
• Olivia Shanee Grant, MD
• James Gray, DO
• Simon Greenstein
• Mark Grijalva, DO
• Susan Grodman
• Michele L Gruner, APN

• Speech-Language Pathologist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.