Active NPI
Paul Carmine Gazzara, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 25MA08425900
- Practice address
- 3589 Hylan Blvd
Staten Island, NY 10308-3513 - Phone
- (718) 966-3700
- Fax
- (718) 966-0433
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 162022 | NY | |
| Specialist | 174400000X | 162022 | NY | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 25MA08425900 | NJ | Primary |
Addresses
Primary practice location
3589 Hylan Blvd
Staten Island, NY 10308-3513
Mailing address
3589 Hylan Blvd
Staten Island, NY 10308-3513
Phone (718) 966-3700
Other practice location 1
451 Buchanan Blvd
Red Bank, NJ 07701-5356
Phone (732) 345-0081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgazzara217884@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2100
Hospital & facility affiliations
- North Shore Home Care Chha
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08425900 | NJ | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| New York University | Internal Medicine | Current | Accepting new patients |
| University Physicians Group P C | Internal Medicine | Past | Accepting new patients |
| Union Square Medical Imaging and Mammography PC | Past | Accepting new patients |
Locations
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
3589 Hylan Blvd
Staten Island, NY 10308
Phone (718) 966-3700
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- pgazzara27778@northwell.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Mammography Clinic/Center
- New York, NY
- NPI 1912037102
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1366417677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3589 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103083513",
"telephone_number": "718-966-3700",
"fax_number": "718-966-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3589 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103083513",
"telephone_number": "718-966-3700",
"fax_number": "718-966-0433"
}
],
"practiceLocations": [
{
"address_1": "451 Buchanan Blvd",
"address_purpose": "LOCATION",
"city": "Red Bank",
"state": "NJ",
"postal_code": "077015356",
"country_code": "US",
"telephone_number": "732-345-0081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAZZARA",
"first_name": "PAUL",
"middle_name": "CARMINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "162022",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "162022",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NJ",
"license": "25MA08425900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgazzara217884@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "3589 Hylan Blvd",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103083513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.