Individual provider Active NPI

Grace Collins

  • Family Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1235800574
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01207300 Issued in NJ
Practice address
350 Engle St
Englewood, NJ 07631-1808
Phone
(201) 894-3689
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001694 NJ Practitioner - Nurse Practitioner 4880048859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01207300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Urology,PA CurrentSince Sep 15, 2023 Accepting new patients
Himansh Khanna, MD, PC Past Accepting new patients

Locations

525 Jack Martin Blvd
Ste 304
Brick, NJ 08724
Phone (732) 840-6606

1944 Corlies Ave
Ste 101
Neptune, NJ 07753
Phone (732) 775-8444

1944 State Route 33
Ste 101
Neptune, NJ 07753
Phone (732) 775-8444

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01207300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

350 Engle St
Englewood, NJ 07631-1808

Mailing address

4 W 18TH St Apt 1
Weehawken, NJ 07086-6602
Phone (908) 692-9515

Other names 1

NPPES NPI Registry
  • Grace McGuigan Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2023.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1235800574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W 18TH ST APT 1",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866602",
            "telephone_number": "908-692-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01207300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "MCGUIGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.