Samantha Gray, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F302283 Issued in NY

Practice address

216 Willis Ave
Suite #1
Roslyn Heights, NY 11577-2125

Phone

(516) 484-1333

Fax

(516) 621-7158

NPI assigned

Jun 22, 2007

Last updated

Aug 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Jjgnp in Adult Health, P.C.Group PAC ID 1658608658, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Jjgnp in Adult Health, P.C.

  dba Neuro Pathways

  • Adult Health Nurse Practitioner
  • Mount Sinai, NY
  • NPI 1487133294
  Medicare reassignment Care Compare group NPD
• Pathways to Health, LLC

  • Multi-Specialty Clinic/Center
  • Mount Sinai, NY
  • NPI 1689903940
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1235335662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WILLIS AVE",
            "address_2": "SUITE #1",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772125",
            "telephone_number": "516-484-1333",
            "fax_number": "516-621-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WILLIS AVE",
            "address_2": "SUITE #1",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772125",
            "telephone_number": "516-484-1333",
            "fax_number": "516-621-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "297896-1",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "297896-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Goldstein
• Emilia Golebiewska
• Michal Golos
• Marlin Sushmita Gomes, PHARM.D
• Shirley Goree
• Great Shapes of Albertson Inc
• Abby Greenberg, M.D.
• Lyle Edward Greenman, PH.D.
• Jacqueline Marie Gribko, PA
• James Gries, PSY.D.

• Adult Health Nurse Practitioner in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.