Leila Sharon Grayson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA06323500 Issued in NJ

Practice address

3350 State Route 138
Suite 225
Wall Township, NJ 07719-9693

Phone

(732) 681-0001

Fax

(732) 681-9112

NPI assigned

Mar 14, 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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1790818102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 STATE ROUTE 138",
            "address_2": "SUITE 225",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-681-0001",
            "fax_number": "732-681-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 STATE ROUTE 138",
            "address_2": "SUITE 225",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-681-0001",
            "fax_number": "732-681-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "LEILA",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06323500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Giovanni, LAC
• Isaac Glatstein, M.D, MSC.
• Francine Ruth Goldberg, PH.D.
• Danielle Goodrich, PT
• Sarah Gowen
• Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
• Blair Rachel Gumnic, D.O.
• Hackensack Meridian Ambulatory Care, Inc (Meridian Subacute Rehabilitation)
• Michael J Hackett, ATR CSCS
• Thomas Everett Hackett, DO

• Surgery Physician in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.