Bath Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BATH MEDICAL, P.C.

Practice address

2015 Bath Ave
Brooklyn, NY 11214-4857

Phone

(718) 266-3399

Fax

(718) 266-2773

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lauretta Grzegorczyk, M.D.NPI 1346385424

Title

Director

Phone

(718) 266-3399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauretta Grzegorczyk, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346385424
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083747869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144857",
            "telephone_number": "718-266-3399",
            "fax_number": "718-266-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144857",
            "telephone_number": "718-266-3399",
            "fax_number": "718-266-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRZEGORCZYK",
        "authorized_official_first_name": "LAURETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-266-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Bates
• Bath Ave Care Inc
• Bath Ave Medical Supply LLC
• Bath Ave Pharmacy Inc
• Bath Beach Medical, PC
• Amrita Batheja, D.D.S.
• Roma Madan Batheja, MD
• Marilyn Bathersfield
• Angela Bathija, DMD
• Aleksandr Batikov, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.