Individual provider Active NPI

Gregory Ray Thomaier, D.C.

  • Sports Physician Chiropractor
  • Saint James, NY
National Provider Identifier
1992725113
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X007863 Issued in NY
Practice address
338 Lake Ave
Saint James, NY 11780-2224
Phone
(631) 584-8100
Fax
(631) 584-9436
NPI assigned
Jul 20, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X007863 NY Primary

Addresses

Primary practice location

338 Lake Ave
Saint James, NY 11780-2224

Mailing address

338 Lake Ave
Saint James, NY 11780-2224
Phone (631) 584-8100

Other identifiers 7

IdentifierTypeStateIssuer
5898286OtherNYGHI
P1092926OtherNYOXFORD
X4K141OtherNYEMPIRE BC/BS
P-11067587OtherNYMULTIPLAN
1824490OtherNYUNITED HEALTHCARE
AA50665OtherNYMDNY
113468347-01OtherNYPRISM (VYTRA PANEL)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000415 NY Practitioner - Chiropractic 3375710189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

338 Lake Ave
St. James, NY 11780-2276
Phone (631) 584-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007863NYMDSports Physician Chiropractor
007863NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Ray Thomaier DC PC Sports Physician CurrentSince Jan 14, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr.greg@chos0001.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1992725113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802224",
            "telephone_number": "631-584-8100",
            "fax_number": "631-584-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802224",
            "telephone_number": "631-584-8100",
            "fax_number": "631-584-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAIER",
        "first_name": "GREGORY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X007863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5898286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1092926",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "X4K141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P-11067587",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1824490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AA50665",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM (VYTRA PANEL)",
            "identifier": "113468347-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.