# GRACE MODERN HEALTH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306613997
- **Authorized official:** GRACE CABANILLAS (OWNER)
- **Authorized official phone:** (732) 407-6130

## Contact information

- **Practice address:** 34 GREEN ST, WOODBRIDGE, NJ 07095-3353
- **Practice address phone:** (908) 930-0052
- **Practice address fax:** (908) 565-1529
- **Mailing address:** 34 GREEN ST UNIT C-1, WOODBRIDGE, NJ 07095-3353
- **Mailing address phone:** (908) 930-0052
- **Mailing address fax:** (908) 565-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 02/02/2026
