Nicola S Gray, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD420737 Issued in PA

Practice address

2501 N 3Rd St
Harrisburg, PA 17110-1904

Phone

(717) 782-4734

Fax

(717) 782-4727

NPI assigned

Feb 10, 2006

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Pittsburgh School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Liberty Family Health Care Center IncGroup PAC ID 2163496084, shared by 5 NPIs, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1790443711
  Medicare reassignment NPD
• East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1760642896
  NPD
• East Liberty Family Health Care Center, Inc.

  dba East Liberty Family Health Care Center Pharmacy-EL

  • Community/Retail Pharmacy
  • Pittsburgh, PA
  • NPI 1902443260
  NPD
• Pennsylvania Psychiatric Institute

  • Methadone Clinic
  • Harrisburg, PA
  • NPI 1245760743
  NPD
• Pennsylvania Psychiatric Institute

  dba PPI Professional

  • Psychologist
  • Harrisburg, PA
  • NPI 1881829976
  NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1982677878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4734",
            "fax_number": "717-782-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NICOLA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD420737",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420737",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD420737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101303928",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Granados
• John Grandrimo, D.O.
• Julie Elizabeth Granito, CCC/SLP
• Steven Beidler Grater, D.M.D.
• Indiya Graves
• Graysonview Harrisburg
• Julie Ann Graziane, MD
• Alicia Graziano, DPT
• Randolph J. Greber, O.D., M.S., FAAO
• Breanna Green

• Family Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.