Organization Active NPI

Grace Modern Health, P.C.

  • Primary Care Clinic/Center
  • Woodbridge, NJ
National Provider Identifier
1306613997
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GRACE MODERN HEALTH, P.C.
Practice address
34 Green St
Woodbridge, NJ 07095-3353
Phone
(908) 930-0052
Fax
(908) 565-1529
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Grace CabanillasNPI 1578227872
Title
Owner
Phone
(732) 407-6130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

34 Green St
Woodbridge, NJ 07095-3353

Mailing address

34 Green St Unit C-1
Woodbridge, NJ 07095-3353
Phone (908) 930-0052

Other practice location 1

103 N 11th Ave Ste 105
St Charles, IL 60174-2289
Phone (908) 930-0052

National Provider Directory

National Provider Directory

Locations

34 Green St
Woodbridge, NJ 07095
Phone (732) 634-3444

34 Green St
Unit C1
Woodbridge, NJ 07095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1306613997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREEN ST UNIT C-1",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953353",
            "telephone_number": "908-930-0052",
            "fax_number": "908-565-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREEN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953353",
            "telephone_number": "908-930-0052",
            "fax_number": "908-565-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 N 11th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742289",
            "country_code": "US",
            "telephone_number": "908-930-0052",
            "fax_number": "908-565-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE MODERN HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "CABANILLAS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-407-6130"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.