Individual provider Active NPI

Paul Carmine Gazzara, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1366417677
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
25MA08425900 Issued in NJ
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

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000871 NY Practitioner - Internal Medicine 4789619123 Reassigns benefits to 2 organizations

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
Physicians of University Hospital PCGroup PAC ID 5890877542, 58 clinicians

Practice addresses (Care Compare)

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2100

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
25MA08425900NJMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC Internal Medicine Current Accepting new patients
New York University Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince Sep 1, 2022 Accepting new patients
New York University Internal Medicine CurrentSince Sep 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.