Healthcare Provider Details

I. General information

NPI: 1215859343
Provider Name (Legal Business Name): GRACE DURANDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 BEAVER DAM RD
POINT PLEASANT BORO NJ
08742-5106
US

IV. Provider business mailing address

1617 BEAVER DAM RD
POINT PLEASANT BORO NJ
08742-5106
US

V. Phone/Fax

Practice location:
  • Phone: 732-701-8400
  • Fax:
Mailing address:
  • Phone: 908-956-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07493000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: