Organization Active NPI

Michael R. Gray MD PC

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1386961795
Registry record updated Apr 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
166679 Issued in NY
Legal business name
MICHAEL R. GRAY MD PC
Practice address
51 E 42ND St
Suite 707
New York, NY 10017-5404
Phone
(212) 684-5477
Fax
(212) 684-3507
NPI assigned
Apr 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2010

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

Authorized official

Name
Dr. Michael Robert Gray, MDNPI 1134277247
Title
President
Phone
(212) 684-5477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 166679 NY Primary

Addresses

Primary practice location

51 E 42ND St
Suite 707
New York, NY 10017-5404

Mailing address

51 E 42ND St
Suite 707
New York, NY 10017-5404
Phone (212) 684-5477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000686 NY Part B Supplier - Clinic/Group Practice 7911033873 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Michael R Gray MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 W 46th St
Ste 506
New York, NY 10036
Phone (212) 684-5477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272067200000",
    "number": "1386961795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST",
            "address_2": "SUITE 707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-684-5477",
            "fax_number": "212-684-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST",
            "address_2": "SUITE 707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-684-5477",
            "fax_number": "212-684-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. GRAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-24",
        "last_updated": "2010-04-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-684-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "166679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.