Healthcare Provider Details

I. General information

NPI: 1881320596
Provider Name (Legal Business Name): GRIT HEALTHCARE NJ, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 PASSAIC AVE STE 306
FAIRFIELD NJ
07004-3592
US

IV. Provider business mailing address

165 PASSAIC AVE STE 306
FAIRFIELD NJ
07004-3592
US

V. Phone/Fax

Practice location:
  • Phone: 973-969-3518
  • Fax:
Mailing address:
  • Phone: 973-969-3518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURA DEL TUFO
Title or Position: CO-CEO
Credential:
Phone: 973-477-8773