Organization Active NPI

Patriot Anesthesiology PLLC

Doing business as Gray Longevity Institute

  • Health Service Clinic/Center
  • Hollis, NH
National Provider Identifier
1851277156
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PATRIOT ANESTHESIOLOGY PLLC
Doing business as
Gray Longevity Institute
Practice address
52 Rideout Rd
Hollis, NH 03049-6110
Phone
(603) 484-9777
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Dennis Wayne Gray Jr., DONPI 1063859965
Title
Managing Member
Phone
(603) 484-9777

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

52 Rideout Rd
Hollis, NH 03049-6110

Mailing address

923 Elm St # 102
Manchester, NH 03101-2003
Phone (603) 484-9777

Other names 1

  • Gray Longevity Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1851277156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ELM ST # 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012003",
            "telephone_number": "603-484-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 RIDEOUT RD",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496110",
            "telephone_number": "603-484-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT ANESTHESIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "603-484-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray Longevity Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollis, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.