Active NPIOrganization

Grace Medical Association Corporation

Specialist in Hackensack, New Jersey

NPI Number1144500133
Practice location
192 Prospect Ave, Hackensack, NJ 07601-2204
Fax
201-569-1919
Last updated
August 22, 2011

Grace Medical Association Corporation is a healthcare organization based in Hackensack, NJ. Grace Medical Association Corporation practices in Hackensack, NJ. The NPI Number for Grace Medical Association Corporation is 1144500133 and holds a License No. 25MA0762130 (NJ). The current practice location address for Grace Medical Association Corporation is 192 Prospect Ave, Hackensack, NJ 07601-2204 and can be reached out via phone at 201-569-9090 and via fax at 201-569-1919.

Provider Profile Details

NPI Number
1144500133
Provider Name
Grace Medical Association Corporation
Provider Entity Type
Organization
Address
192 Prospect Ave, Hackensack, NJ 07601-2204
Phone Number
201-569-9090
Fax Number
201-569-1919
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Andrea G. P. Isaacs, MD · Owner · 201-569-9090
Provider Enumeration Date
August 22, 2011
Last Update Date
August 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
192 Prospect Ave
Hackensack, NJ 07601-2204
Zip
07601-2204
Phone Number
201-569-9090
Fax Number
201-569-1919
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
192 Prospect Ave
Hackensack, NJ 07601-2204
City
Hackensack
State
NJ
Zip
07601-2204
Phone Number
201-569-9090
Fax Number
201-569-1919

License Information

License Number
25MA0762130
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Grace Medical Association Corporation?

The NPI number of Grace Medical Association Corporation is 1144500133. It was assigned on August 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Grace Medical Association Corporation?

Grace Medical Association Corporation is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA0762130.

Where does Grace Medical Association Corporation practice?

The practice location is 192 Prospect Ave, Hackensack, NJ 07601-2204. The office can be reached at 201-569-9090 (phone) or 201-569-1919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144500133 directly on the NPPES registry website.

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