Active NPI
Sean Gray, CNP
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2287152
- Practice address
- 55 Fruit St Ste 230
Boston, MA 02114-2621 - Phone
- (617) 726-2740
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2287152 | MA | |
| Nurse Practitioner | 363L00000X | RN2287152 | MA | Primary |
Addresses
Primary practice location
55 Fruit St Ste 230
Boston, MA 02114-2621
Mailing address
55 Fruit St Ste 230
Boston, MA 02114-2621
Phone (617) 726-2740
Other practice location 1
33 Beechwood St
Quincy, MA 02169-5805
Phone (617) 827-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Main St
Medford, MA 02155-4530
Phone (781) 395-4761
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2287152 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Hospital Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Past | Accepting new patients |
Locations
55 Fruit St
Ste 230
Boston, MA 02114
Phone (617) 726-2740
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205
101 Main St
Ste 107
Medford, MA 02155
Phone (781) 391-4004
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
71 Needham St
Newton, MA 02461
Phone (617) 712-2770
Interoperability endpoints
- gray.sean.puc@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Urgent Care Clinic/Center
- Brookline, MA
- NPI 1720486830
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1609387695
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1881141398
-
- Internal Medicine Physician
- Concord, MA
- NPI 1174545875
-
- General Acute Care Hospital
- Boston, MA
- NPI 1144509209
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376080648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST STE 230",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST STE 230",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-2740"
}
],
"practiceLocations": [
{
"address_1": "33 Beechwood St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695805",
"country_code": "US",
"telephone_number": "617-827-4430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "SEAN",
"name_prefix": "Mr.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2287152",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2287152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.