NPIMap

Organization Active NPI

Gracious Services Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Fanwood, NJ
National Provider Identifier
1821823279
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GRACIOUS SERVICES INC.
Practice address
25 South Ave
Fanwood, NJ 07023-1518
Phone
(908) 233-0005
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Bayo Badmus
Title
Ceo
Phone
(908) 233-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

25 South Ave
Fanwood, NJ 07023-1518

Mailing address

208 Lenox Ave Ste 353
Westfield, NJ 07090-5120
Phone (908) 233-0005

National Provider Directory

National Provider Directory
Tax ID family
Gracious Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

25 South Ave
Fanwood, NJ 07023
Phone (908) 233-0005

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1821823279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LENOX AVE STE 353",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905120",
            "telephone_number": "908-233-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231518",
            "telephone_number": "908-233-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BADMUS",
        "authorized_official_first_name": "BAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-233-0005"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.