Samuel Gray

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

867 Lafayette Rd
Seabrook, NH 03874-4217

Phone

(603) 686-9884

NPI assigned

Mar 24, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bostons Community Medical Group IncGroup PAC ID 1355390691, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Boston's Community Medical Group, Inc.

  dba CCA Primary Care

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1235174418
  Medicare reassignment Care Compare group NPD
• Commonwealth Clinical Alliance, Inc

  • Case Manager/Care Coordinator
  • Boston, MA
  • NPI 1679605091
  Medicare reassignment NPD

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1710447859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 LAFAYETTE RD",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744217",
            "telephone_number": "603-686-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 LAFAYETTE RD",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744217",
            "telephone_number": "603-686-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61201861237",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Page Godzyk, OTR/L
• Steven Charles Good, H.I.S.
• Emily Gorsuch
• Ryan Lee Grant
• Granted Hands LLC
• Keri Ann Greely, MSPT, CEIS
• HCA Health Services of New Hampshire, Inc. (Seabrook Emergency, a department of Portsmouth Regional Hospital)
• Integrated Gastroenterology Consultants Seacoast PLLC
• John J. Maloney, Jr. D.D.S.
• Shane M Johnston

• Counselor in Seabrook, NH
• Providers in Seabrook, NH by specialty
• Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.