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DR. JEFFREY ANTHONY GAZZARA JR. DO
NPI 1790135358
General Practice in Philadelphia, PA

Active since June 14, 2016PECOS Enrolled
621, 1515 MARKET STREET, SUITE 1200, PHILADELPHIA, PA 19102(856) 236-0155 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, May 26, 2022, May 12, 2022 and 12 more (15 updates tracked since 2016).

About Dr. Jeffrey Anthony Gazzara Jr. Do NPPES

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

DR. JEFFREY ANTHONY GAZZARA JR. DO (NPI 1790135358) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS018948) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Okemos.

NPPES Registry Identity

NPI1790135358
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JEFFREY ANTHONY GAZZARA JR.Credential: DO
Location Address621, 1515 MARKET STREET, SUITE 1200Philadelphia, PA 19102-1921
Mailing Address164 Kennedy BlvdBellmawr, NJ 08031-1121 · (856) 236-0155
Phone(856) 236-0155
Sole ProprietorNo
Enumeration DateJune 14, 2016
Last NPPES UpdateApril 6, 202315 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1790135358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PA · OS018948✔ Licensed in NY · 302466✔ Licensed in CO · DR.0063013✔ Licensed in MO · 2020003560✔ Licensed in AL · SP.243✔ Licensed in VT · 032.0133783✔ Licensed in ME · DO2764✔ Licensed in WV · ITRDO-008✔ Licensed in MI · 5101022520✔ Licensed in FL · OS15642✔ Licensed in GA · 847321
Definition
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
621, 1515 MARKET STREET, Philadelphia, PA 19102
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Secondary Practice Location 1

Location 12222 W Grand River Ave Ste AOkemos, MI 48864-1604 · Phone (856) 236-0155

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Anthony Gazzara Jr. Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
44 services44 patients

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 Jeffrey Gazzara's NPI number?

The NPI number for Jeffrey Gazzara is 1790135358. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Jeffrey Gazzara located?

Jeffrey Gazzara practices at 621, 1515 Market Street Suite 1200, Philadelphia, PA 19102. The listed phone number is (856) 236-0155.

What is Jeffrey Gazzara's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jeffrey Gazzara enrolled in Medicare?

Yes. Jeffrey Gazzara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Gazzara was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.