Grayce Medical Nj, LLC
NPI 1346030301ActiveOrganization· General Practice· San Francisco, CA
General Practice in San Francisco, California, registered in NPPES in May 2025. The authorized official on file is Mark Shen, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1346030301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2025 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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