EXCELSIOR GRACE LLC
NPI 1649149238
Nurse Practitioner - Psychiatric/Mental Health in Plainfield, NJ

Q: What is Excelsior Grace LLC's NPI number?

The NPI number for Excelsior Grace LLC is 1649149238. It was assigned to this organization in the NPPES registry on November 1, 2025.

Q: What is Excelsior Grace LLC's specialty?

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

Active since November 01, 2025

959 W 4TH ST, PLAINFIELD, NJ 07063(347) 302-1212 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Excelsior Grace Llc NPPES

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

EXCELSIOR GRACE LLC (NPI 1649149238) is a healthcare organization registered as a psychiatric/mental health in Plainfield, New Jersey and active in the NPI registry since November 2025. The organization lists Oluwabunmi Omotayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1649149238

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameEXCELSIOR GRACE LLC

Location Address959 W 4TH STPlainfield, NJ 07063-1372

Mailing Address959 W 4th StPlainfield, NJ 07063-1372 · (347) 302-1212

Phone(347) 302-1212

Organization SubpartNo

Authorized OfficialOluwabunmi OmotayoOwner · (347) 302-1212

Enumeration DateNovember 1, 2025

Last NPPES UpdateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1649149238 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

959 W 4TH ST, Plainfield, NJ 07063

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TOP TIER MENTAL HEALTH WELLNESS LLC

Nurse Practitioner (Psychiatric/Mental Health)

959 W 4TH ST
PLAINFIELD, NJ 07063

Union County (973) 566-3676

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 Excelsior Grace LLC's NPI number?

The NPI number for Excelsior Grace LLC is 1649149238. It was assigned to this organization in the NPPES registry on November 1, 2025.

Where is Excelsior Grace LLC located?

Excelsior Grace LLC is located at 959 W 4th St, Plainfield, NJ 07063. The listed phone number is (347) 302-1212.

What is Excelsior Grace LLC'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 Excelsior Grace LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.