CONNOR CULLEN GRAY
NPI 1477241826
Student in an Organized Health Care Education/Training Program in Mineola, NY

Q: What is Connor Gray's NPI number?

The NPI number for Connor Gray is 1477241826. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Q: What is Connor Gray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Gray was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 25, 2023PECOS Enrolled

222 STATION PLZ N STE 509, MINEOLA, NY 11501(516) 663-2381 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Connor Cullen Gray NPPES

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

CONNOR CULLEN GRAY (NPI 1477241826) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477241826

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCONNOR CULLEN GRAY

Location Address222 STATION PLZ N STE 509Mineola, NY 11501-3893

Mailing Address6 Richlee Ct Apt 4sMineola, NY 11501-3626 · (631) 338-5123

Phone(516) 663-2381

Sole ProprietorNo

Enumeration DateApril 25, 2023

NPPES CertifiedApril 25, 2023

✔ NPI 1477241826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

222 STATION PLZ N STE 509, Mineola, NY 11501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Cullen Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. ERIK LAWRENCE MD

Radiology (Diagnostic Radiology)