GRACE MEDICAL LLC
NPI 1831766674
Clinic/Center - Primary Care in Staten Island, NY

Active since June 09, 2021
9 ABBEY RD, STATEN ISLAND, NY 10308(718) 833-6260 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Medical Llc NPPES

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

GRACE MEDICAL LLC (NPI 1831766674) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since June 2021. The organization lists Neven Nassif, Director, as its authorized official.

NPPES Registry Identity

NPI1831766674
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRACE MEDICAL LLC
Location Address9 ABBEY RDStaten Island, NY 10308-1346
Mailing Address9 Abbey RdStaten Island, NY 10308-1346
Organization SubpartNo
Authorized OfficialNeven NassifDirector · (718) 801-2574
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1831766674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9 ABBEY RD, Staten Island, NY 10308

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 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1235439456
2315 VICTORY BLVD
Staten Island, NY 10314
(718) 477-6900
✔ PECOS✔ Accepts Medicare3.6 mi

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 LLC's NPI number?

The NPI number for Grace Medical LLC is 1831766674. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Grace Medical LLC located?

Grace Medical LLC is located at 9 Abbey Rd, Staten Island, NY 10308. The listed phone number is (718) 833-6260.

What is Grace Medical LLC's specialty?

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

Is Grace Medical LLC enrolled in Medicare?

Yes. Grace Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Grace Medical LLC. 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. 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 LLC was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.