Grayson, Douglas K
Grayson, Douglas K is an individual health care provider with primary practice located at 485A Us Highway 1 S Building A, Iselin NJ 08830-3012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Grayson, Douglas K can be contacted via phone (732) 750-0400.Contact Information
Primary practice address
485A Us Highway 1 S Building A
Iselin NJ 08830-3012
Phone: (732) 750-0400
Fax: (732) 750-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA06225100 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 1827361 | New York |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 25MA06225100 | New Jersey |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 182736-1 | New York |
Profile Details
| NPI number | 1689674129 |
|---|---|
| LBN Legal business name | Grayson, Douglas K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Apr 24th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689674129 | NPPES |
| New Jersey | Other | 566609QHY | MEDICARE |
| New Jersey | MEDICAID | 01486635 | MEDICARE |
| New Jersey | MEDICAID | 6675808 | MEDICARE |
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