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GRACE MEDICAL GROUP LLC
NPI 1003323155
Psychiatry & Neurology - Psychiatry in Rahway, NJ

Active since January 10, 2018CLIA 31D2150953 · Waiver
1600 SAINT GEORGES AVE STE 118, RAHWAY, NJ 07065(732) 596-1088 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MEDICAL GROUP LLC (NPI 1003323155) is a healthcare organization registered as a psychiatry in Rahway, New Jersey and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Akinlabi Adetayo Sanusi, President, as its authorized official.

NPPES Registry Identity

NPI1003323155
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameGRACE MEDICAL GROUP LLC
Location Address1600 SAINT GEORGES AVE STE 118Rahway, NJ 07065-2713
Mailing Address1600 Saint Georges Ave Ste 118Rahway, NJ 07065-2713 · (732) 596-1088
Phone(732) 596-1088
Organization SubpartNo
Authorized OfficialAkinlabi Adetayo SanusiPresident · (732) 596-1088
Enumeration DateJanuary 10, 2018
✔ NPI 1003323155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1600 SAINT GEORGES AVE STE 118, Rahway, NJ 07065
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2150953

Grace Medical Group, LLC · Rahway, NJ
Active · expires Jul 8, 2028
CLIA Number31D2150953
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorAkinlabi A. Sanusi
Laboratory Phone(848) 236-5091
Laboratory LocationGrace Medical Group, LLC1600 Saint Georges Avenue, Suite 118, Rahway, NJ 07065
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER CASTRO LMFT
Counselor (Mental Health)
1600 SAINT GEORGES AVE STE 118
RAHWAY, NJ 07065
Union County (848) 236-5091
MAHTAB AYATOLLAHI MSW LCSW
Social Worker
1600 SAINT GEORGES AVE STE 118
RAHWAY, NJ 07065
Union County (848) 236-5091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Medical Group LLC's NPI number?

The NPI number for Grace Medical Group LLC is 1003323155. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Grace Medical Group LLC located?

Grace Medical Group LLC is located at 1600 Saint Georges Ave Ste 118, Rahway, NJ 07065. The listed phone number is (732) 596-1088.

What is Grace Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Grace Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2150953) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Medical Group LLC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.