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DR. JENNIFER MARIE GRAY DO NPI 1669622080


NPI Information

NPI: 1669622080
Provider Name: DR. JENNIFER MARIE GRAY, DO
Classification: Physical Medicine & Rehabilitation - 2081N0008X
Entity Type: Individual

Specialization: Neuromuscular Medicine

PECOS Registration: Yes

Address:
200 BELLE TERRE RD
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 474-6012
Get Directions

DR. Jennifer Marie Gray, DO is a neuromuscular medicine physical medicine rehabilitation in Port Jefferson, NY with 19 years of experience. The provider is a physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. DR. Jennifer Marie Gray, DO NPI is 1669622080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2005

The provider's business location address is:

200 BELLE TERRE RD
PORT JEFFERSON, NY
ZIP 11777-928
Phone: (631) 474-6012
Fax: (631) 474-6448

The NPI 1669622080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 4/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204R00000XElectrodiagnostic Medicine256760NEW YORKNo
22081N0008XPhysical Medicine & RehabilitationNeuromuscular Medicine256760NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.