1. Home
  2. Directory
  3. New York
  4. Roslyn Heights
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jjgnp In Adult Health, P.C.
34 mi
Adult Health
77 SHORE RD
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1487133294 (631) 642-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACLYN S TANE RD
Nutritionist
216 WILLIS AVE, STE 001
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 801-0022
DR. BRIJ MOHAN SHARMA M.D
Specialist
216 WILLIS AVE
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 484-1333
LAUREN A ROSEN RD
Nutritionist
216 WILLIS AVE, SUITE 001
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 801-0022
UROLOGY & PELVIC HEALTH, PLLC
Specialist
216 WILLIS AVE, SUITE 001
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 399-2501
AMY GOLDSMITH CDN
Dietitian, Registered
216 WILLIS AVE, STE 001
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 801-0022
RAPID RESPONSE DIAGNOSTICS LLC
Physiological Laboratory
216 WILLIS AVE
ROSLYN HTS, NY 11577
Nassau County (516) 277-1614
MRS. LORI ANN D'AMATO RD
Dietitian, Registered
216 WILLIS AVE
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 801-0022
LORI BERNSTEIN RD
Nutritionist
216 WILLIS AVE, STE 001
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 801-0022

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 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.

Where is Samantha Gray located?

Samantha Gray practices at 216 Willis Ave Suite #1, Roslyn Heights, NY 11577. The listed phone number is (516) 484-1333.

What is Samantha Gray's specialty?

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

Is Samantha Gray enrolled in Medicare?

Yes. Samantha Gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gray reassigns Medicare benefits to Jjgnp In Adult Health, P.C. (Mount Sinai, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Gray was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.