JACQUELINE A GRAY PA-C NPI 1962897843

NPI Information

  • NPI: 1962897843
  • Provider Name: JACQUELINE A GRAY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 DIAMOND HILL RD
    BERKELEY HEIGHTS, NJ
    ZIP 07922
  • Phone: (908) 277-8991

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NPI Details

Jacqueline A Gray, PA-C is a medical physician assistant in Berkeley Heights, NJ with 13 years of experience. Jacqueline A Gray, PA-C NPI is 1962897843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ
ZIP 07922-104
Phone: (908) 277-8991
Fax: (908) 673-7391

The NPI 1962897843 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 3/30/2015 and was last updated on 9/22/2023.

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
1363A00000XPhysician Assistant25MP00355800NEW JERSEYNo
2363AM0700XPhysician AssistantMedical25MP00355800NEW JERSEYYes

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: 11/21/2025

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