GRACE MEDICAL CONSULT
NPI 1104370915
Nurse Practitioner - Psychiatric/Mental Health in Irvington, NJ
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Medical Consult is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Grace Medical Consult, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Grace Medical Consult enrolled in Medicare?
Yes. Grace Medical Consult is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Medical Consult?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grace Medical Consult. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10 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.
# Grace Medical Consult · NPI 1104370915
Psychiatric/Mental Health organization in Irvington, New Jersey. Organization record, active in the CMS NPPES registry since August 9, 2016.
## Identity
- **NPI:** 1104370915 (Entity type: Organization)
- **Enumerated:** August 9, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Adewale Adefowoju, MEDICAL DIRECTOR
## Practice location
- **Address:** 40 UNION AVE, 3RD FL. STE 301, Irvington, NJ 07111-3277
- **Phone:** (973) 996-2170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1104370915) · Data from the CMS NPPES public registry.