Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ian Ross Gray, PA-C

Individual provider Physician Assistant · NPI 1346464971

Mr. Ian Ross Gray, PA-C is a Physician Assistant in Vineland, New Jersey. Qualified in 2005, 21 years ago. Practices with Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC, a 36-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
21
Licensed in
NJ, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

352 S Delsea Dr Ste C
Vineland, NJ 08360-5306
Phone: (856) 690-1616
Fax: (856) 896-6107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00160500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence MA052484 (PA)

Record details

NPI number1346464971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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