Grace Medical Association Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA0762130 Issued in NJ

Legal business name

GRACE MEDICAL ASSOCIATION CORPORATION

Practice address

192 Prospect Ave
Hackensack, NJ 07601-2204

Phone

(201) 569-9090

Fax

(201) 569-1919

NPI assigned

Aug 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea G. P. Isaacs, M.D.NPI 1457491532

Title

Owner

Phone

(201) 569-9090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Gail Isaacs, M.D.

  • Internal Medicine Physician
  • Wallingford, CT
  • NPI 1457491532

  Specialist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1144500133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012204",
            "telephone_number": "201-569-9090",
            "fax_number": "201-569-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012204",
            "telephone_number": "201-569-9090",
            "fax_number": "201-569-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL ASSOCIATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G. P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-569-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA0762130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Marie Goss, MD
• Vanessa Gourdine, APN-C, PSYD
• Aparna Govindan
• Niketa Vinod Govindani, M.D.
• Andre H Goy, MD
• Grace Total Homecare Services LLC.
• Briel Gradinger, PT,DPT
• Deena Mary Atieh Graham, M.D.
• Heather Graham, P.T.
• Anthony Grand, PA-C

• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.