NPIMap

Organization Active NPI

Gracey's Vision Healthcare Inc.

  • Community/Behavioral Health Agency
  • Paterson, NJ
National Provider Identifier
1841886132
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACEY'S VISION HEALTHCARE INC.
Practice address
56 Hamilton St FL 4
Paterson, NJ 07505-2003
Phone
(862) 403-9118
Fax
(877) 437-7795
NPI assigned
Dec 21, 2020
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Grace BooneNPI 1003730979
Title
Ceo
Phone
(862) 403-9118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

56 Hamilton St FL 4
Paterson, NJ 07505-2003

Mailing address

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

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.

Locations

208 Russell Pl
Hackensack, NJ 07601

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": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1841886132",
    "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 ST FL 4",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052003",
            "telephone_number": "862-403-9118",
            "fax_number": "877-437-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEY'S VISION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 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.