Individual provider Active NPI

Joseph C Gretzula, DO

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1952590218
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS5031 Issued in FL
Practice address
100 NE 6TH St Suite 106
Boynton Beach, FL 33435-4168
Phone
(561) 736-8514
Fax
(561) 736-8587
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS5031 FL Primary

Addresses

Primary practice location

100 NE 6TH St Suite 106
Boynton Beach, FL 33435-4168

Mailing address

100 NE 6TH St Suite 106
Boynton Beach, FL 33435-4168
Phone (561) 736-8514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000694 FL Practitioner - Dermatology 3476690421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 NE 6TH St
Suite 106
Boynton Beach, FL 33435-4168
Phone (561) 736-8514

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as individual
Quality
85.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2450
Removal or shaving of skin growth35
Skin biopsy2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS5031FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph C Gretzula DO Faad PA Dermatology CurrentSince Jun 1, 2009 Accepting new patients

Locations

100 NE 6th St
Ste 106
Boynton Beach, FL 33435
Phone (561) 736-8514

555 N Congress Ave
Ste 201
Boynton Beach, FL 33426
Phone (561) 736-8514

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1952590218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 6TH ST SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354168",
            "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": "100 NE 6TH ST SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354168",
            "telephone_number": "561-736-8514",
            "fax_number": "561-736-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZULA",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS5031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.