| Dr Jennifer Marie Gray, DO | |
|
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | |
| (631) 474-6012 | |
| (631) 474-6448 |
| Full Name | Dr Jennifer Marie Gray |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 20 Years |
| Location | 200 Belle Terre Rd, Port Jefferson, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669622080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | 256760 (New York) | Primary |
| 204R00000X | Electrodiagnostic Medicine | 256760 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Hospital | Port jefferson, NY | Hospital |
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Hospital Corp | 6103733050 | 42 |
| Chs Physician Partners Pc | 7618955667 | 618 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | St Charles Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Marie Gray, DO 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6012 | Dr Jennifer Marie Gray, DO 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6012 |
Yu Jen Lai, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Rd, Suite E740, Port Jefferson, NY 11777 Phone: 631-474-6879 Fax: 631-474-6448 | |
Sarah Gaballah, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6879 Fax: 631-474-6448 | |
Dr. Tara Mcconnon, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6879 | |
Anuja Korlipara, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Suite E140, Port Jefferson, NY 11777 Phone: 631-474-6879 Fax: 631-474-6448 | |
Dr. Barry Rubin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 635 Belle Terre Rd Ste 209b, Port Jefferson, NY 11777 Phone: 631-246-9501 Fax: 631-246-9570 | |
Ms. Elizabeth Buffamante, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 640 Belle Terre Rd Bldg J, Port Jefferson, NY 11777 Phone: 631-828-5361 |