Healthcare Provider Details

I. General information

NPI: 1053222646
Provider Name (Legal Business Name): GRACE ELIZABETH STERLING PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 WHITE HORSE AVE
HAMILTON NJ
08610-1424
US

IV. Provider business mailing address

39 GLENWOOD RD
LUMBERTON NJ
08048-3423
US

V. Phone/Fax

Practice location:
  • Phone: 609-578-4170
  • Fax:
Mailing address:
  • Phone: 609-556-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP01049100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: