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WILLIAM RICHARD GRAY PA
NPI 1649395229
Physician Assistant - Medical in Bay Shore, NY

Active since March 20, 2007PECOS Enrolled
24 BRENTWOOD RD, BAY SHORE, NY 11706(631) 647-4567(631) 647-4568 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Richard Gray Pa NPPES

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

WILLIAM RICHARD GRAY PA (NPI 1649395229) is an individual medical provider in Bay Shore, New York, licensed in New York (003709-1) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649395229
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILLIAM RICHARD GRAYCredential: PA
Location Address24 BRENTWOOD RDBay Shore, NY 11706-8011
Mailing Address2500 Nesconset HwyStony Brook, NY 11790-2555 · (631) 689-3005 · Fax (631) 689-1750
Phone(631) 647-4567
Fax(631) 647-4568
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1649395229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 003709-1
24 BRENTWOOD RD, Bay Shore, NY 11706
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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)

William Richard Gray Pa 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 3

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

.PHYSICAL THERAPY FOR THE 21ST CENTURY
Physical Therapist
24 BRENTWOOD RD
BAY SHORE, NY 11706
Suffolk County (631) 666-8100
MS. BRIANA MEEHAN
Nurse Practitioner (Adult Health)
24 BRENTWOOD RD
BAY SHORE, NY 11706
Suffolk County (631) 647-4567
21ST CENTURY FOOTCARE PC
Podiatrist (Foot & Ankle Surgery)
24 BRENTWOOD RD
BAY SHORE, NY 11706
Suffolk County (631) 666-8100

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 William Gray's NPI number?

The NPI number for William Gray is 1649395229. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is William Gray located?

William Gray practices at 24 Brentwood Rd, Bay Shore, NY 11706. The listed phone number is (631) 647-4567.

What is William Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Gray was last updated on February 20, 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.