Maurice Michael Ray, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003061-1 Issued in NY

Practice address

4120 27TH St
Long Island City, NY 11101-3825

Phone

(718) 784-2240

Fax

(718) 784-0240

NPI assigned

Mar 5, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellwood Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1457454902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1215201546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STOCKBRIDGE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104310",
            "telephone_number": "914-729-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 27TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013825",
            "telephone_number": "718-784-2240",
            "fax_number": "718-784-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MAURICE",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003061-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preeti Rani, P.A
• Deepthi Rao, D.D.S.
• Francesca Raponi, PT
• Afreen Rassiwala
• Ravenview Pharmacy Inc
• Saru Rayamajhi
• Deborah Raymar
• Ali Raza
• Sierra Reamer
• Mary D Redd, LCSW

• Medical Physician Assistant in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.