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GRACE MEDICAL GROUP LLC NPI 1003323155


NPI Information

NPI: 1003323155
Provider Name: GRACE MEDICAL GROUP LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 31D2150953

Address:
1600 SAINT GEORGES AVE STE 118
RAHWAY, NJ
ZIP 07065
Phone: (732) 596-1088
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GRACE MEDICAL GROUP LLC is a psychiatry psychiatry neurology in Rahway, NJ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. GRACE MEDICAL GROUP LLC NPI is 1003323155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 SAINT GEORGES AVE STE 118
RAHWAY, NJ
ZIP 07065-713
Phone: (732) 596-1088

The provider's authorized official is Akinlabi Adetayo Sanusi .
The authorized official title is President and has the following contact phone number (732) 596-1088.

The CLIA number assigned to this NPI record is 31D2150953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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