Active NPI
Gregory Ray Thomaier, D.C.
- Sports Physician Chiropractor
- Saint James, NY
National Provider Identifier
1992725113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X007863
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5898286 | Other | NY | GHI |
| P1092926 | Other | NY | OXFORD |
| X4K141 | Other | NY | EMPIRE BC/BS |
| P-11067587 | Other | NY | MULTIPLAN |
| 1824490 | Other | NY | UNITED HEALTHCARE |
| AA50665 | Other | NY | MDNY |
| 113468347-01 | Other | NY | PRISM (VYTRA PANEL) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| X007863 | NY | MD | Sports Physician Chiropractor |
| 007863 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Ray Thomaier DC PC | Sports Physician | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Chiropractic Healthcare of St. James
- Sports Physician Chiropractor
- Saint James, NY
- NPI 1124328141
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.