DR. JEFFREY ANTHONY GAZZARA DO NPI 1790135358

NPI Information

NPI: 1790135358
Provider Name: DR. JEFFREY ANTHONY GAZZARA, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: AXIVA INFUSION CENTERS - HT LLC

PECOS Registration: Yes

Address:
621, 1515 MARKET STREET
SUITE 1200
PHILADELPHIA, PA
ZIP 19102
Phone: (856) 236-0155
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DR. Jeffrey Anthony Gazzara, DO is a general practice in Philadelphia, PA with 8 years of experience. DR. Jeffrey Anthony Gazzara, DO NPI is 1790135358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2016

The provider's business location address is:

621, 1515 MARKET STREET
SUITE 1200
PHILADELPHIA, PA
ZIP 19102-921
Phone: (856) 236-0155

The NPI 1790135358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2016 and was last updated on 7/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208D00000X	General Practice	OS018948	PENNSYLVANIA	Yes
2	208D00000X	General Practice	032.0133783	VERMONT	No
3	208D00000X	General Practice	DO2764	MAINE	No
4	208D00000X	General Practice	5101022520	MICHIGAN	No
5	208D00000X	General Practice	OS15642	FLORIDA	No
6	208D00000X	General Practice	DR.0063013	COLORADO	No
7	208D00000X	General Practice	302466	NEW YORK	No
8	208D00000X	General Practice	847321	GEORGIA	No
9	208D00000X	General Practice	2020003560	MISSOURI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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