Kiyana Grayer

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

172 Irvine Turner Blvd
Newark, NJ 07108-2606

Phone

(973) 280-4433

NPI assigned

Apr 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dominique Ford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1720474752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 IRVINE TURNER BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 IRVINE TURNER BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082606",
            "telephone_number": "973-280-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYER",
        "first_name": "KIYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "FORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Milcah Graves, NP
• Bryant Gray, D.O.
• Kennedy Gray, MD
• Lisa Gray
• Maria Frances Graye, DMD
• Henry Paul Grayner, ATC
• Janine Denise Grayson, M.D.
• Great Oaks Charter School
• Greater Essex Counseling Services
• Greater Essex Counseling Services LLC

• Community Health Worker in Newark, NJ
• Providers in Newark, NJ by specialty
• Community Health Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.