DR. JEFFREY ANTHONY GAZZARA JR. (NPI# 1790135358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790135358 |
Entity Type | Individual |
Full Name | DR. JEFFREY ANTHONY GAZZARA JR. |
Credential | DO |
Practice Address |
621, 1515 Market Street Suite 1200 Philadelphia PA 19102-1921 |
Mailing Address |
968 Kings Hwy Apt H2 West Deptford NJ 08086-9345 |
Practice Telephone | 8562360155 |
Mailing Telephone | 8562360155 |
Enumeration Date | 2016-06-14 |
Last Update Date | 2020-07-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | 2020003560 | MO | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 847321 | GA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 302466 | NY | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | DR.0063013 | CO | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | OS15642 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 5101022520 | MI | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | DO2764 | ME | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 032.013378 | VT | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | OS018948 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2222 W Grand River Ave Ste A, Okemos, MI 488641604 | 8562360155 |
Street Address |
621, 1515 MARKET STREET SUITE 1200 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
1689183121 | Gem Wound Specialists, LLC | General Practice | 250 N Columbus Blvd Apt 707, Philadelphia, PA 19106-1458 | 2017-09-27 |
1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
1053788240 | J. Todd Willis, Md Clinic | General Practice | 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350-2180 | 2015-08-24 |
1225411655 | Brian Michael Lauer | General Practice | 609 E Passyunk Ave Apt 2, Philadelphia, PA 19147-1530 | 2015-07-02 |
1003294588 | Health Hero Pa LLC | General Practice | 217 Dickinson St, Philadelphia, PA 19147-6003 | 2015-05-15 |
1225447592 | Miriam Medical Clinics Inc | General Practice | 2847 N 26th St, Philadelphia, PA 19132-2508 | 2014-08-11 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.