Individual provider Active NPI

Skyler James Gray, DC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1689177750
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00751200 Issued in NJ
Practice address
683 Bay Ave
Toms River, NJ 08753-3407
Phone
(732) 244-2225
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00136400 NJ
Chiropractor 111N00000X 38MC00751200 NJ Primary

Addresses

Primary practice location

683 Bay Ave
Toms River, NJ 08753-3407

Mailing address

131 Cranmoor Dr
Toms River, NJ 08753-6805
Phone (732) 575-2069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115002344 NJ Practitioner - Chiropractic 5799021531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beylea Chiropractic CenterGroup PAC ID 4284882614, 2 clinicians

Practice addresses (Care Compare)

683 Bay Ave
Toms River, NJ 08753-3407
Phone (732) 244-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00751200NJMDChiropractor
25MZ00136400NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Beylea Chiropractic Center Chiropractor CurrentSince Nov 5, 2018 Accepting new patients

Locations

683 Bay Ave
Toms River, NJ 08753
Phone (732) 244-2225

Organizations & group practices 1

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1689177750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CRANMOOR DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536805",
            "telephone_number": "732-575-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BAY AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533407",
            "telephone_number": "732-244-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SKYLER",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00136400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00751200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.