Mr. Ian R Gray, PA-C
Physician Assistant in Vineland, New Jersey
1346464971- Practice location
- 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306
- Phone
- 856-690-1616
- Fax
- 856-896-6107
- Last updated
- October 11, 2021
Ian Ross Gray is a Physician Assistant based in Vineland, NJ. Ian Ross Gray practices in Vineland, NJ and has the professional credentials of PA-C. The NPI Number for Ian Ross Gray is 1346464971 and holds a License No. 25MP00160500 (NJ). The current practice location address for Ian Ross Gray is 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 and can be reached out via phone at 856-690-1616 and via fax at 856-896-6107.
Provider Profile Details
- NPI Number
- 1346464971
- Provider Name
- Ian Ross Gray
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306
- Phone Number
- 856-690-1616
- Fax Number
- 856-896-6107
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2007
- Last Update Date
- October 11, 2021
- Certification Date
- October 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 352 S Delsea Dr Ste C
Vineland, NJ 08360-5306 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-5306
- Phone Number
- 856-690-1616
- Fax Number
- 856-896-6107
Provider Business Mailing Address Details
- Address
- 352 S Delsea Dr Ste C
Vineland, NJ 08360-5306 - City
- Vineland
- State
- NJ
- Zip
- 08360-5306
- Phone Number
- 856-690-1616
- Fax Number
- 856-896-6107
License Information
- License Number (1)
- 25MP00160500
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- MA052484
- License State (2)
- PA
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Vineland, NJ
View all Physician Assistants in Vineland →- Anastasiya Mulyar, PA-CPhysician Assistant · NPI 1104532803
- Brianna C RussoPhysician Assistant · NPI 1578489035
- Caroline CaseyPhysician Assistant · NPI 1609632652
- Erin Giddens, PA-CPhysician Assistant · NPI 1417608993
- Heather MaliaPhysician Assistant · NPI 1194305722
- Jacob J Mihalecz, PAPhysician Assistant · NPI 1578445920
Frequently Asked Questions
What is the NPI number of Mr. Ian R Gray, PA-C?
The NPI number of Mr. Ian R Gray, PA-C is 1346464971. It was assigned on April 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Ian R Gray, PA-C?
Mr. Ian R Gray, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00160500.
Where does Mr. Ian R Gray, PA-C practice?
The practice location is 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306. The office can be reached at 856-690-1616 (phone) or 856-896-6107 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346464971 directly on the NPPES registry website.