NPIMap

Organization Active NPI

Gracey'S Vision Healthcare Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paterson, NJ
National Provider Identifier
1649066457
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GRACEY'S VISION HEALTHCARE INC.
Practice address
56 Hamilton Street
4TH Floor
Paterson, NJ 07505
Phone
(862) 403-9118
Fax
(877) 437-7795
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Grace Boone
Title
Ceo
Phone
(862) 403-9118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

56 Hamilton Street
4TH Floor
Paterson, NJ 07505

Mailing address

8 Lombardy St Ste 127
Newark, NJ 07102-3210
Phone (862) 403-9118

Other names 1

  • Gracey's Vision Healthcare Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gracey'S Vision Healthcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1649066457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LOMBARDY ST STE 127",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023210",
            "telephone_number": "862-403-9118",
            "fax_number": "877-437-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HAMILTON STREET",
            "address_2": "4TH FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "862-403-9118",
            "fax_number": "877-437-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEY'S VISION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-403-9118"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracey's Vision Healthcare Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.