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GRACE MODERN HEALTH, P.C.
NPI 1306613997
Clinic/Center - Primary Care in Woodbridge, NJ

Active since December 05, 2023CLIA 14D2322154 · Waiver
34 GREEN ST, WOODBRIDGE, NJ 07095(908) 930-0052(908) 565-1529 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Jun 5, 2025, Dec 5, 2023 (3 updates tracked since 2023).

About Grace Modern Health, P.c. NPPES

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

GRACE MODERN HEALTH, P.C. (NPI 1306613997) is a healthcare organization registered as a primary care in Woodbridge, New Jersey and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through April 15, 2027, maintains a secondary practice location in St Charles, and lists Grace Cabanillas, Owner, as its authorized official.

NPPES Registry Identity

NPI1306613997
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRACE MODERN HEALTH, P.C.
Location Address34 GREEN STWoodbridge, NJ 07095-3353
Mailing Address34 Green St Unit C-1Woodbridge, NJ 07095-3353 · (908) 930-0052 · Fax (908) 565-1529
Phone(908) 930-0052
Fax(908) 565-1529
Organization SubpartNo
Authorized OfficialGrace CabanillasOwner · (732) 407-6130
Enumeration DateDecember 5, 2023
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1306613997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
34 GREEN ST, Woodbridge, NJ 07095
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Secondary Practice Location 1

Location 1103 N 11th Ave Ste 105St Charles, IL 60174-2289 · Phone (908) 930-0052 · Fax (908) 565-1529

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 14D2322154

Grace Modern Health PC · St Charles, IL
Active · expires Apr 15, 2027
CLIA Number14D2322154
Laboratory TypePractitioner Other
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorGrace Cabanillas
Laboratory Phone(908) 930-0052
Laboratory LocationGrace Modern Health PC1121 E Main St - Ste 122, St Charles, IL 60174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. REGINA M. GUMUCIO D.M.D.
Dentist (General Practice)
34 GREEN ST
WOODBRIDGE, NJ 07095
Middlesex County (732) 634-3444

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 Modern Health, P.C.'s NPI number?

The NPI number for Grace Modern Health, P.C. is 1306613997. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is Grace Modern Health, P.C. located?

Grace Modern Health, P.C. is located at 34 Green St, Woodbridge, NJ 07095. The listed phone number is (908) 930-0052.

What is Grace Modern Health, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Grace Modern Health, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2322154) is associated with this NPI, valid through April 15, 2027. 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 Modern Health, P.C. was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.