Active NPI
Natick General Practice P C
- Internal Medicine Physician
- Natick, MA
National Provider Identifier
1689808677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 159545
- Legal business name
- NATICK GENERAL PRACTICE P C
- Practice address
- 67 Union St
Suite 102
Natick, MA 01760-7700 - Phone
- (508) 650-7616
- Fax
- (508) 650-7814
- NPI assigned
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rentata C Ratusznik-Martin, M.D.
- Title
- General Partner
- Phone
- (508) 650-7615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 159545 | MA | Primary |
Addresses
Primary practice location
67 Union St
Suite 102
Natick, MA 01760-7700
Mailing address
67 Union St
Suite 102
Natick, MA 01760-7700
Phone (508) 650-7616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090708000503 | MA | Part B Supplier - Clinic/Group Practice | 2466504253 |
Receives reassigned benefits from 1 practitioner Practice locations: Natick, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1100703 | Natick General Practice | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
67 Union St
Ste 303
Natick, MA 01760
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251936000000",
"number": "1689808677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 102",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-650-7616",
"fax_number": "508-650-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 102",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-650-7616",
"fax_number": "508-650-7814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATICK GENERAL PRACTICE P C",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-09-03",
"status": "A",
"authorized_official_last_name": "RATUSZNIK-MARTIN",
"authorized_official_first_name": "RENTATA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "508-650-7615",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "159545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.