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DORIAN GRAY
NPI 1104787910
Counselor - Mental Health in Westampton, NJ

Active since November 20, 2025
770 WOODLANE RD, WESTAMPTON, NJ 08060(609) 267-5982 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dorian Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORIAN GRAY (NPI 1104787910) is an individual mental health provider in Westampton, New Jersey and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104787910
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDORIAN GRAY
Location Address770 WOODLANE RDWestampton, NJ 08060-3804
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5982
Phone(609) 267-5982
Sole ProprietorNo
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1104787910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
770 WOODLANE RD, Westampton, NJ 08060
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY CORALLUZZO
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
ASHLEY D BURKS
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (856) 267-5928
HAYLEY HARDIN
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
SAFA ALSTON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
BRENDA FORMANEK
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CONSTANCE JOHNSON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CLARICE PULCINE
Social Worker
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
KIAMARAE MATHES
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorian Gray's NPI number?

The NPI number for Dorian Gray is 1104787910. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Dorian Gray located?

Dorian Gray practices at 770 Woodlane Rd, Westampton, NJ 08060. The listed phone number is (609) 267-5982.

What is Dorian Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dorian Gray was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.