1. Home
  2. Directory
  3. New Jersey
  4. Irvington
  5. Nurse Practitioner
  6. NPI Profile

GRACE MEDICAL CONSULT
NPI 1104370915
Nurse Practitioner - Psychiatric/Mental Health in Irvington, NJ

Active since August 09, 2016
40 UNION AVE, 3RD FL. STE 301, IRVINGTON, NJ 07111(973) 996-2170 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Medical Consult NPPES

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

GRACE MEDICAL CONSULT (NPI 1104370915) is a healthcare organization registered as a psychiatric/mental health in Irvington, New Jersey and active in the NPI registry since August 2016. The organization lists Adewale Adefowoju, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104370915
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRACE MEDICAL CONSULT
Location Address40 UNION AVE, 3RD FL. STE 301Irvington, NJ 07111-3277
Mailing Address40 Union Ave, 3rd Fl. Ste 301Irvington, NJ 07111-3277 · (973) 996-2170
Phone(973) 996-2170
Organization SubpartNo
Authorized OfficialAdewale AdefowojuMedical Director · (908) 693-5036
Enumeration DateAugust 9, 2016
✔ NPI 1104370915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00196200
40 UNION AVE, Irvington, NJ 07111
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 15

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

DR. ROMEO A TIU MD
Internal Medicine (Cardiovascular Disease)
40 UNION AVE, SUITE 206
IRVINGTON, NJ 07111
Essex County (973) 375-5500
DR. SAMUEL A BANIGO M.D.,
Internal Medicine (Adolescent Medicine)
40 UNION AVE, STE.204
IRVINGTON, NJ 07111
Essex County (973) 416-6981
JACKSON A OKOYA MD
Internal Medicine (Pulmonary Disease)
40 UNION AVE, SUITE 204
IRVINGTON, NJ 07111
Essex County (973) 416-6981
GEORGIANNA CORNELIUS
Social Worker (Clinical)
40 UNION AVE
IRVINGTON, NJ 07111
Essex County (201) 253-0993
DR. ATUL KUMAR AGARWALA MD
Ophthalmology
40 UNION AVE, SUITE 102
IRVINGTON, NJ 07111
Essex County (973) 399-6270
UGOCHI JENNIFER AGWUNOBI
Nurse Practitioner (Psychiatric/Mental Health)
40 UNION AVE
IRVINGTON, NJ 07111
Essex County (973) 993-7288
ANTHONY OKEKE
Physical Therapist
40 UNION AVE, SUITE 304
IRVINGTON, NJ 07111
Essex County (973) 416-4800
DR. EMMANUEL MADUABUCHI EMELLE MD
Pediatrics
40 UNION AVE
IRVINGTON, NJ 07111
Essex County (973) 374-3544

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 Consult's NPI number?

The NPI number for Grace Medical Consult is 1104370915. It was assigned to this organization in the NPPES registry on August 9, 2016.

Where is Grace Medical Consult located?

Grace Medical Consult is located at 40 Union Ave 3rd Fl. Ste 301, Irvington, NJ 07111. The listed phone number is (973) 996-2170.

What is Grace Medical Consult's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Grace Medical Consult was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.