Douglas K Grayson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA06225100 Issued in NJ

Practice address

485A US Highway 1 S
Building a
Iselin, NJ 08830-3012

Phone

(732) 750-0400

Fax

(732) 750-1507

NPI assigned

Jul 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Warren Alpert Medical School of Brown University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Eye Surgery of New York PCGroup PAC ID 8820980014, 5 clinicians

Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.91 of 100Reported as group

Quality

87.14

Promoting interoperability

92

Improvement activities

40

Cost

78.17

Merit-based Incentive Payment System (MIPS)

Final score

90.63 of 100Reported as group

Quality

96.68

Promoting interoperability

95

Improvement activities

40

Cost

76.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: douglas.grayson.p1@direct.omnieyeservices.nextgenshare.com
• Direct secure messaging: douglas.grayson.p2@direct.omnieyeservices.nextgenshare.com
• Direct secure messaging: dgrayson397810@northwell.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Omni Eye Surgery of New York PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1598748659

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Omni Eye Specialists P a

  • Ophthalmology Physician
  • Iselin, NJ
  • NPI 1376593863
  Medicare reassignment Care Compare group NPD
• Omni Eye Surgery of New York

  • Optometrist
  • New York, NY
  • NPI 1942688791
  NPD
• Essex Specialized Surgical Institute LLC

  • Ambulatory Surgical Clinic/Center
  • West Orange, NJ
  • NPI 1679728901
  NPD (past)
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD (past)
• Phillips Eye Center PA

  • Ophthalmology Physician
  • Elmwood Park, NJ
  • NPI 1851471379
  NPD (past)
• Horowitz, Pirozzolo, OD'S Et. Al., LLP

  • Optometrist
  • Staten Island, NY
  • NPI 1740308881
  NPD (past)
• The New York Eye & Ear Infirmary Ophthalmology Associates, P.C.

  • Specialist
  • New York, NY
  • NPI 1811931041
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1689674129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485A US HIGHWAY 1 S",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303012",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485A US HIGHWAY 1 S",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303012",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06225100",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1827361",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MA06225100",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NY",
            "license": "182736-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "566609QHY",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01486635",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6675808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon Golem, RD
• Anneta Vladimirovna Golubchik, M.D.
• Jacqueline Suzanne Gonzalez, RN
• Lisa Goode, RD
• Samuel Jay Gordon, D.D.S.
• Green Street Medical
• Tanya Grey, RN
• Eileen Griffith, L.C.S.W.
• Growth Outpatient Mental Health Services LLC
• Marina Grundman, P.A.-C

• Ophthalmology Physician in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.