NPIMap

Organization Active NPI

Grace Medical Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoboken, NJ
National Provider Identifier
1881217685
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACE MEDICAL CARE
Practice address
422 Grand St # 9-10
Hoboken, NJ 07030-2727
Phone
(908) 693-5036
Fax
(862) 849-2319
NPI assigned
May 27, 2020
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Adewale Adefowoju, DNP, APN, PMHNP-BCNPI 1114153186
Title
Medical Director
Phone
(908) 693-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

422 Grand St # 9-10
Hoboken, NJ 07030-2727

Mailing address

1379 Brookfall Ave
Union, NJ 07083-7013
Phone (908) 693-5036

Other names 1

  • Grace Medical Care Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1881217685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 BROOKFALL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837013",
            "telephone_number": "908-693-5036",
            "fax_number": "862-849-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GRAND ST # 9-10",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302727",
            "telephone_number": "908-693-5036",
            "fax_number": "862-849-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "ADEFOWOJU",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-693-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Medical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Grace Medical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.