Excelsior Grace LLC
Excelsior Grace LLC is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Plainfield, NJ, holding Type 2 (organization) NPI 1649149238 since 2025. The authorized official on file is Oluwabunmi Omotayo, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649149238 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Excelsior Grace LLC |
| Practice address | 959 W 4TH ST, Plainfield, NJ, 07063 |
| Phone | 3473021212 |
| Enumeration date | 2025-11-01 |
| Last updated in NPPES | 2025-11-04 |
Authorized official
| Name | Oluwabunmi Omotayo |
|---|---|
| Title | Owner |
| Phone | 3473021212 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Excelsior Grace LLC NPI: 1649149238 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 959 W 4TH ST, Plainfield, NJ, 07063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316896491 | Top Tier Mental Health Wellness LLC | Organization | Psychiatric/Mental Health Nurse Practitioner | Plainfield, NJ |
Verify this record
Cross-check NPI 1649149238 against the authoritative CMS record: view Excelsior Grace LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Excelsior Grace LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-04.