Organization Active NPI

Grace International Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Gaithersburg, MD
National Provider Identifier
1801808522
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
D01997 Issued in MD
Legal business name
GRACE INTERNATIONAL SERVICES LLC
Practice address
702 Russell Ave Ste 102
Gaithersburg, MD 20877-6612
Phone
(301) 216-2660
Fax
(301) 216-2440
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Nahed Wahib Saleh Morgan, MD, MPH
Title
Owner
Phone
(301) 216-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X D01997 MD Primary

Addresses

Primary practice location

702 Russell Ave Ste 102
Gaithersburg, MD 20877-6612

Mailing address

501 N Frederick Ave
Suite# 107
Gaithersburg, MD 20877-2507
Phone (301) 216-2660

Other identifiers 1

IdentifierTypeStateIssuer
012985200MedicaidMD

Other names 1

  • GIS Medical & Surgical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

702 Russell Ave
Ste 102
Gaithersburg, MD 20877
Phone (301) 216-2660

501 N Frederick Ave
Ste 107
Gaithersburg, MD 20877

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1801808522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "address_2": "SUITE# 107",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-216-2660",
            "fax_number": "301-216-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVE STE 102",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776612",
            "telephone_number": "301-216-2660",
            "fax_number": "301-216-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE INTERNATIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "NAHED",
        "authorized_official_middle_name": "WAHIB SALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-216-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "D01997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012985200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIS Medical & Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.