Individual provider Active NPI

Victor Gazzara, DM, MSW, LSW, OSW-C

  • Clinical Social Worker
  • Somers Point, NJ
National Provider Identifier
1497182562
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05671700 Issued in NJ
Practice address
1 E New York Ave
Somers Point, NJ 08244-2340
Phone
(609) 653-3241
Fax
(609) 653-3833
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SL05671700 NJ Primary

Addresses

Primary practice location

1 E New York Ave
Somers Point, NJ 08244-2340

Mailing address

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127001652 NJ Practitioner - Clinical Social Worker 7416482468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05671700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Nov 4, 2024 Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

711 Marsha Ave
Williamstown, NJ 08094

Interoperability endpoints

  • Direct secure messaging: victor.gazzara.p1@direct.cchn.nextgenshare.com

Organizations & group practices 2

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1497182562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3241",
            "fax_number": "609-653-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3241",
            "fax_number": "609-653-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZZARA",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DM, MSW, LSW, OSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05671700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.