Grace Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRACE MEDICAL LLC

Practice address

9 Abbey Rd
Staten Island, NY 10308-1346

Phone

(718) 833-6260

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Neven Nassif, MDNPI 1235439456

Title

Director

Phone

(718) 801-2574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neven I Nassif, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1235439456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1831766674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ABBEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ABBEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081346",
            "telephone_number": "718-833-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "NASSIF",
        "authorized_official_first_name": "NEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-801-2574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Gottschling, OTD, OTR/L
• Sophia Rose Gousias, OT
• Margaret M Governo, RN NPP
• Gpaa Consulting Inc.
• Yisroel Grabie, DO
• Graceful Dove, LLC
• Diane Gracia
• Shannon Grady-Tarentino, OTR/L
• Maggie K Grady, MSED
• Mariangela Graffagnino

• Primary Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.