GRACE MEDICAL ASSOCIATION CORPORATION


Address: 192 Prospect Ave, Hackensack, NJ 07601-2204
Phone: 2015699090

GRACE MEDICAL ASSOCIATION CORPORATION (NPI# 1144500133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144500133
Entity Type Organization
Organization Name GRACE MEDICAL ASSOCIATION CORPORATION
Practice Address 192 Prospect Ave
Hackensack
NJ 07601-2204
Practice Telephone 2015699090
Practice Fax Number 2015691919
Mailing Telephone 2015699090
Mailing Fax Number 2015691919
Enumeration Date 2011-08-22
Last Update Date 2011-08-22
Authorized Official Name DR. ANDREA G. P. ISAACS (OWNER)
Authorized Official Telephone 2015699090
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 25MA0762130 NJ Other Service Providers

Office Location

Street Address 192 PROSPECT AVE
City HACKENSACK
State NJ
Zip Code 07601-2204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346284932 Gene Paterno Chiropractor 192 Prospect Ave, Hackensack, NJ 07601-2204 2006-06-15
1437480845 Galina Grigoryan Md LLC Internal Medicine 192 Prospect Ave, Hackensack, NJ 07601-2204 2010-01-25
1497912588 American Medical Group Internal Medicine 192 Prospect Ave, Hackensack, NJ 07601-2204 2008-05-18
1497830293 Robert Chu Du Lee Internal Medicine 192 Prospect Ave, Hackensack, NJ 07601-2204 2006-10-27

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1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073968095 Stephanie Garcia Specialist 364 Parker Ave, Hackensack, NJ 07601-1832 2016-04-27
1699143594 John Oliver Manansala Hernandez Specialist 54 Frederick St, Hackensack, NJ 07601-5235 2015-09-09
1205257748 Morris Anesthesiology Consultants of Nj LLC Specialist 180 Main St Fl 2, Hackensack, NJ 07601-7125 2013-12-31
1598011645 Felix Paulino Specialist 475 Colonial Ter Apt 5, Hackensack, NJ 07601-1426 2012-07-26
1811250400 Denise Soto Specialist 150 Overlook Ave Apt 3e, Hackensack, NJ 07601-2222 2012-06-19
1558624387 Yvette M Ramos Specialist 140 Prospect Ave Apt 9m, Hackensack, NJ 07601-2248 2012-06-18
1275857468 Yitzhack Asulin, Md, PC Specialist 20 Prospect Ave Ste 719, Hackensack, NJ 07601-1974 2010-03-17
1255587366 Michael P Silverstein Specialist 211 Essex St Ste 202, Hackensack, NJ 07601-3245 2008-08-09
1609049501 Manoucher Katebian, M.d. Pa Specialist 274 Summit Ave, Hackensack, NJ 07601-1432 2008-04-11
1881899532 Excelsior Women's Care P.a Specialist 170 Prospect Ave Ste 4, Hackensack, NJ 07601-1834 2007-06-20
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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