Mary D. Gray, NP-P

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

379886-1 Issued in NY

Practice address

137-50 Jamaica Ave
Jamaica, NY 11435-3610

Phone

(718) 298-5100

Fax

(718) 298-5130

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.gray@pri1.eclinicaldirectplus.com

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.

• Community Counseling Mediation Services

  • Point of Service
  • Brooklyn, NY
  • NPI 1568789444
  NPD (past)
• Jewish Board for Family and Children Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1366685430
  NPD (past)
• Project Renewal Inc

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1598770018
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1851422646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AMITY ST",
            "address_2": "#2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016107",
            "telephone_number": "718-855-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137-50 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353610",
            "telephone_number": "718-298-5100",
            "fax_number": "718-298-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARY",
        "middle_name": "D.",
        "credential": "NP-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "379886-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Grant, D.D.S.
• Suzette Grant
• Marsha Odessa Granville, R.N
• Stacey Rebbie Granville, LPN
• Katiuscia Gray, LCSW
• Pauline P Gray
• Shalaine Gray
• Timothy Gray, PA-C
• Great Care Dental
• Greater New York Home Health Systems

• Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.