Paul William Gwozdz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA067782 Issued in NJ

Practice address

710 Easton Ave
Suite 1a
Somerset, NJ 08873-1855

Phone

(732) 545-4100

Fax

(732) 545-4102

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Family Practice

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paul W. Gwozdz, M.D., L.L.C.

  • Primary Care Clinic/Center
  • Somerset, NJ
  • NPI 1881827517
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479945600000",
    "number": "1396786000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HORIZON DR",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078349403",
            "telephone_number": "732-545-4100",
            "fax_number": "732-545-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EASTON AVE",
            "address_2": "SUITE 1A",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731855",
            "telephone_number": "732-545-4100",
            "fax_number": "732-545-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWOZDZ",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA067782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8397902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vikas Gupta
• Vanessa Gutierrez
• Annie Guy
• Alisa Janet Guzman, OTR/L
• Nicholas Guzman, PHARMD
• Gyan Gastroenterology LLC
• Loretta Gyau
• Joseph Haddad, D.D.S.
• Michael Haddad, PT, DPT
• Ottillie Haitmanek, LPN

• Family Medicine Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; 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.

Verify at the official NPI Registry.