1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Licensed Practical Nurse
  6. NPI Profile

JUANITA GRAY
NPI 1174844500
Licensed Practical Nurse in Staten Island, NY

Active since June 21, 2010
143 BEMENT AVE, STATEN ISLAND, NY 10310(718) 300-0684 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juanita Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA GRAY (NPI 1174844500) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (217733-1) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1174844500
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJUANITA GRAY
Location Address143 BEMENT AVEStaten Island, NY 10310-1504
Mailing Address143 Bement AveStaten Island, NY 10310-1504
Phone(718) 300-0684
Sole ProprietorYes
Enumeration DateJune 21, 2010
✔ NPI 1174844500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 217733-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
143 BEMENT AVE, Staten Island, NY 10310
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Gray's NPI number?

The NPI number for Juanita Gray is 1174844500. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Juanita Gray located?

Juanita Gray practices at 143 Bement Ave, Staten Island, NY 10310. The listed phone number is (718) 300-0684.

What is Juanita Gray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Juanita Gray was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.