Malgorzata Gradzka, M.D., P.C.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

0101056754 Issued in VA

Legal business name

MALGORZATA GRADZKA, M.D., P.C.

Practice address

3620 Joseph Siewick Dr
Suite 401
Fairfax, VA 22033-1756

Phone

(703) 648-9800

Fax

(703) 648-9808

NPI assigned

Oct 18, 2006

Last updated

Nov 3, 2009By 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. Malgorzata Gradzka, M.D.NPI 1376724062

Title

President

Phone

(703) 648-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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.

• Malgorzata Gradzka, M.D.

  • Rheumatology Physician
  • Fairfax, VA
  • NPI 1376724062

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1083795496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208180034",
            "telephone_number": "703-648-9800",
            "fax_number": "703-648-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 401",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-648-9800",
            "fax_number": "703-648-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALGORZATA GRADZKA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "GRADZKA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-648-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101056754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005853940",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Malavathu
• Manisha Malavia, PHARM.D.
• Malcolm J. Murray DDS
• Mehrdad M Malek, MD
• Alireza Stephen Malekzadeh, MD
• Natasha Malhotra, OTD, MSOTR/L
• Malib Care Inc
• Amtul M Malik, MD
• Anjali Malik, MD
• Pankaj Malik, M.D.

• Rheumatology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Rheumatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.