Provider Demographics
NPI:1538175468
Name:RAY, STEVEN RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RICHARD
Last Name:RAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-2938
Mailing Address - Country:US
Mailing Address - Phone:856-629-8655
Mailing Address - Fax:856-629-3909
Practice Address - Street 1:507 WILLIAMSTOWN RD
Practice Address - Street 2:NEW FREDOM RD
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1775
Practice Address - Country:US
Practice Address - Phone:856-629-1199
Practice Address - Fax:856-629-3909
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00304600111N00000X
PADC003294L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0104420000OtherKEYSTONE HMO
NJR48652OtherHORIZON BC BS NJ PLUS
NJ119350OtherCORESOURCE
NJ453169OtherMAILHANDLERS INS
NJ0104420000OtherAMERIHEALTH HMO
NJ1082504Medicaid
NJ192487OtherCHN SOLUTIONS
NJP500714OtherOXFORD INS
NJ0549376OtherAETNA
NJ453169OtherNJ CARPENTERS HEALTH FUND
NJ6393394OtherCIGNA HEALTH INS
NJ1082504Medicaid