MS. SAMANTHA GRAY N.P.
NPI 1235335662
Nurse Practitioner - Adult Health in Roslyn Heights, NY

Q: What is Samantha Gray's NPI number?

The NPI number for Samantha Gray is 1235335662. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Q: What is Samantha Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Gray was last updated on August 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2007PECOS Enrolled

216 WILLIS AVE, SUITE #1, ROSLYN HEIGHTS, NY 11577(516) 484-1333(516) 621-7158 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Samantha Gray N.p. NPPES

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

MS. SAMANTHA GRAY N.P. (NPI 1235335662) is an individual adult health provider in Roslyn Heights, New York, licensed in New York (F302283) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235335662

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. SAMANTHA GRAYCredential: N.P.

Location Address216 WILLIS AVE, SUITE #1Roslyn Heights, NY 11577-2125

Mailing Address216 Willis Ave, Suite #1Roslyn Heights, NY 11577-2125 · (516) 484-1333 · Fax (516) 621-7158

Phone(516) 484-1333

Fax(516) 621-7158

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 22, 2007

Last NPPES UpdateAugust 26, 2013

✔ NPI 1235335662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F302283

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 297896-1 (NY)

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 297896-1 (NY)

216 WILLIS AVE, Roslyn Heights, NY 11577

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Gray N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668854795

PECOS Enrollment IDI20220805000190

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

109 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty