=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215859343
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GRACE DURANDO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1617 BEAVER DAM RD
-----------------------------------------------------
City | POINT PLEASANT BORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08742-5106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-701-8400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1617 BEAVER DAM RD
-----------------------------------------------------
City | POINT PLEASANT BORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08742-5106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-956-5007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 44SL07493000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------