JOSEPH C GRETZULA DO FAAD PA
NPI 1033102801
Dermatology in Boynton Beach, FL

Active since August 26, 2005CLIA 10D0287270 · Certificate of Compliance
555 N CONGRESS AVE, SUITE 201, BOYNTON BEACH, FL 33426(561) 736-8514(561) 736-8587 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph C Gretzula Do Faad Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH C GRETZULA DO FAAD PA (NPI 1033102801) is a healthcare organization registered as a dermatology in Boynton Beach, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Certificate of Compliance certificate valid through May 31, 2028 and lists Joseph C Gretzula, President, as its authorized official.

NPPES Registry Identity

NPI1033102801
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJOSEPH C GRETZULA DO FAAD PA
Location Address555 N CONGRESS AVE, SUITE 201Boynton Beach, FL 33426-3320
Mailing Address100 Ne 6th St Unit 201Boynton Beach, FL 33435-4162 · (561) 736-8514 · Fax (561) 736-8587
Fax(561) 736-8587
Organization SubpartNo
Authorized OfficialJoseph C GretzulaPresident · (561) 736-8514
Enumeration DateAugust 26, 2005
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1033102801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · OS5031
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
555 N CONGRESS AVE, Boynton Beach, FL 33426

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph C Gretzula Do Faad Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20091023000479Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Joseph C Gretzula Do Faad PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1952590218
100 NE 6TH ST SUITE 106
Boynton Beach, FL 33435
(561) 736-8514
✔ PECOS✔ Accepts Medicare2.2 mi
Pathology
NPI 1467617506
8900 N KENDALL DR
Miami, FL 33176
(786) 596-6525
✔ PECOS✔ Accepts Medicare60 mi
Pathology
NPI 1114456407
1 CRANBERRY HL
Lexington, MA 02421
(678) 679-9059
✔ PECOS✔ Accepts Medicare1,207 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0287270

Joseph C Gretzula Do Faad PA D/B/A Boynton Beach Dermatology · Boynton Beach, FL
Active · expires May 31, 2028
CLIA Number10D0287270
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Joseph C. Gretzula
Laboratory Phone(561) 736-8514
Laboratory LocationJoseph C Gretzula Do Faad PA D/B/A Boynton Beach Dermatology100 NE 6th Street, Suite 106, Boynton Beach, FL 33435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph C Gretzula Do Faad PA's NPI number?

The NPI number for Joseph C Gretzula Do Faad PA is 1033102801. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Joseph C Gretzula Do Faad PA located?

Joseph C Gretzula Do Faad PA is located at 555 N Congress Ave Suite 201, Boynton Beach, FL 33426. The listed phone number is (561) 736-8514.

What is Joseph C Gretzula Do Faad PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joseph C Gretzula Do Faad PA enrolled in Medicare?

Yes. Joseph C Gretzula Do Faad PA is registered in the Medicare PECOS enrollment system.

When is Joseph C Gretzula Do Faad PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Joseph C Gretzula Do Faad PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Joseph C Gretzula Do Faad PA, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Joseph C Gretzula Do Faad PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0287270) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joseph C Gretzula Do Faad PA was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.