Individual provider Active NPI

Alicia Dawn Gray, APN

  • Family Nurse Practitioner
  • Belvidere, NJ
National Provider Identifier
1760135149
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01261900 Issued in NJ
Practice address
500 Greenwich St
Belvidere, NJ 07823-1409
Phone
(908) 475-9990
Fax
(908) 475-9993
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01261900 NJ Primary

Addresses

Primary practice location

500 Greenwich St
Belvidere, NJ 07823-1409

Mailing address

PO Box 95000 LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other practice location 1

254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413
Phone (908) 852-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alicia.gray@pcp.atlantichealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000061 NJ Practitioner - Nurse Practitioner 9133515604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

500 Greenwich St
Belvidere, NJ 07823-1409
Phone (908) 475-9990

Hospital & facility affiliations

  • Community Visiting Nurse Service Home health agency, Somerville, NJ, CCN 317023
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01261900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Mar 21, 2022 Accepting new patients
Primary Care Partners, LLC CurrentSince Mar 21, 2022 Accepting new patients
Primary Care Partners, LLC Current Accepting new patients

Locations

500 Greenwich St
Belvidere, NJ 07823
Phone (908) 475-8750

254B Mountain Ave
Ste 100
Hackettstown, NJ 07840
Phone (908) 574-9675

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1760135149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREENWICH ST",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231409",
            "telephone_number": "908-475-9990",
            "fax_number": "908-475-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254B Mountain Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078402413",
            "country_code": "US",
            "telephone_number": "908-852-6400",
            "fax_number": "908-852-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALICIA",
        "middle_name": "DAWN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01261900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia.gray@pcp.atlantichealth.org",
            "affiliation": "N",
            "endpointDescription": "email work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Greenwich St",
            "city": "Belvidere",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078231409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belvidere, NJ

Sources for this page

Verify at the official NPI Registry.