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
  • PECOS Registration: Yes
  • Address: 621, 1515 MARKET STREET
    SUITE 1200
    PHILADELPHIA, PA
    ZIP 19102
  • Phone: (856) 236-0155

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NPI Details

DR. Jeffrey Anthony Gazzara, DO is a general practice in Philadelphia, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 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.

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 6/14/2016 and was last updated on 4/6/2023.

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 Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice302466NEW YORKNo
2208D00000XGeneral PracticeDR.0063013COLORADONo
3208D00000XGeneral Practice2020003560MISSOURINo
4208D00000XGeneral PracticeSP.243ALABAMANo
5208D00000XGeneral Practice032.0133783VERMONTNo
6208D00000XGeneral PracticeDO2764MAINENo
7208D00000XGeneral PracticeITRDO-008WEST VIRGINIANo
8208D00000XGeneral Practice5101022520MICHIGANNo
9208D00000XGeneral PracticeOS15642FLORIDANo
10208D00000XGeneral Practice847321GEORGIANo
11208D00000XGeneral PracticeOS018948PENNSYLVANIAYes

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: 11/21/2025

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