Excelsior Grace LLC
NPI 1649149238 · Psychiatric/Mental Health Nurse Practitioner · Plainfield, NJ
Excelsior Grace LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Plainfield, NJ (NPI 1649149238).
Provider details
- NPI number
- 1649149238
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Oluwabunmi Omotayo, Owner(347) 302-1212
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
Under 1 yr in 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
- 2025-11-01
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Excelsior Grace LLC's NPI number?
- Excelsior Grace LLC's National Provider Identifier (NPI) is 1649149238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excelsior Grace LLC?
- Excelsior Grace LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Excelsior Grace LLC located?
- Excelsior Grace LLC's practice location on file with NPPES is 959 W 4th St, Plainfield, NJ 07063-1372.
- What is Excelsior Grace LLC's phone number?
- The practice phone number listed in the NPPES registry for Excelsior Grace LLC is (347) 302-1212.
- Who is the authorized official for Excelsior Grace LLC?
- The authorized official listed on Excelsior Grace LLC's NPPES record is Oluwabunmi Omotayo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excelsior Grace LLC's NPI active?
- Yes — Excelsior Grace LLC's NPI (1649149238) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.