Joseph C Gretzula DO Faad PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS5031 Issued in FL

Legal business name

JOSEPH C GRETZULA DO FAAD PA

Practice address

555 N Congress Ave
Suite 201
Boynton Beach, FL 33426-3320

Phone

(561) 736-8514

Fax

(561) 736-8587

NPI assigned

Aug 26, 2005

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph C Gretzula, DONPI 1952590218

Title

President

Phone

(561) 736-8514

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph C Gretzula, DO

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1952590218
  Medicare reassignment NPD Authorized official
• Uzma Farooq, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
  • NPI 1467617506
  Medicare reassignment NPD
• Sheva Khalafbeigi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
  • NPI 1114456407

  FL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1033102801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 6TH ST UNIT 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354162",
            "telephone_number": "561-736-8514",
            "fax_number": "561-736-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N CONGRESS AVE",
            "address_2": "SUITE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263320",
            "telephone_number": "561-736-8514",
            "fax_number": "561-736-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C GRETZULA DO FAAD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "GRETZULA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-736-8514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge L. Macia, M.D.& Rosa M. Marin M.D.P.a.
• Jose Castaneda MD,PA (Jose F Castaneda MD,PA)
• Jose Stable Physiotherapy LLC
• Joseph Jose, M.D.
• Remedios Pardo Jose, ARNP
• Berthine Joseph
• Cherlie Esther Joseph, NP
• Cleante Joseph
• Frantzso Joseph
• Mercilia Joseph, PMHNP

• Dermatology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.