Grace Medical Consult
NPI 1104370915 · Psychiatric/Mental Health Nurse Practitioner · Irvington, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Medical Consult is a Psychiatric/Mental Health Nurse Practitioner organization in Irvington, NJ (NPI 1104370915).
Provider details
- NPI number
- 1104370915
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Adewale Adefowoju, Medical Director(908) 693-5036
- License
- 26NJ00196200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-09
- Last updated
- 2016-08-09
Frequently asked questions
- What is Grace Medical Consult's NPI number?
- Grace Medical Consult's National Provider Identifier (NPI) is 1104370915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Medical Consult?
- Grace Medical Consult is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grace Medical Consult located?
- Grace Medical Consult's practice location on file with NPPES is 40 Union Ave, Irvington, NJ 07111-3277.
- What is Grace Medical Consult's phone number?
- The practice phone number listed in the NPPES registry for Grace Medical Consult is (973) 996-2170.
- Does Grace Medical Consult accept Medicare?
- Grace Medical Consult is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grace Medical Consult?
- The authorized official listed on Grace Medical Consult's NPPES record is Adewale Adefowoju, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Medical Consult's NPI active?
- Yes — Grace Medical Consult's NPI (1104370915) is active in the NPPES registry as of the last update on 2016-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.