Individual provider Active NPI

Anna M.S Gazu, DMD

  • Dentist
  • Clifton, NJ
National Provider Identifier
1407497688
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102772600 Issued in NJ
Practice address
1113 Main Ave
Clifton, NJ 07011-2354
Phone
(973) 576-8100
Fax
(973) 384-0729
NPI assigned
Sep 30, 2019
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02772600 NJ
Dentist 122300000X 22D102772600 NJ Primary

Addresses

Primary practice location

1113 Main Ave
Clifton, NJ 07011-2354

Mailing address

1113 Main Ave
Clifton, NJ 07011-2354
Phone (973) 576-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22D102772600NJMDDentist
22DI02772600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Gazu DDS PA CurrentSince Feb 2, 2025 Accepting new patients

Locations

1113 Main Ave
Clifton, NJ 07011
Phone (973) 576-8100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1407497688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112354",
            "telephone_number": "973-576-8100",
            "fax_number": "973-384-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112354",
            "telephone_number": "973-576-8100",
            "fax_number": "973-384-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZU",
        "first_name": "ANNA",
        "middle_name": "M.S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02772600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102772600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.