Pasko L Gazivoda, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00175700 Issued in NJ

Practice address

67 Broadway
Elmwood Park, NJ 07407-1836

Phone

(201) 794-3223

Fax

(201) 794-8411

NPI assigned

Jun 9, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Physical Therapy Inst., PA

  • Physical Therapy Clinic/Center
  • Elmwood Park, NJ
  • NPI 1518996503
  Authorized official Same address or phone
• Broadway Foot and Ankle Ctr PA

  • Foot & Ankle Surgery Podiatrist
  • Elmwood Park, NJ
  • NPI 1437106689
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518908474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BROADWAY",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071836",
            "telephone_number": "201-794-3223",
            "fax_number": "201-794-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BROADWAY",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071836",
            "telephone_number": "201-794-3223",
            "fax_number": "201-794-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZIVODA",
        "first_name": "PASKO",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ernest Gallo, LPC
• Astrid Garcia
• Jessica Garcia
• Garden State Oral & Maxillofacial Surgery, LLC
• Garden State Rehab Services
• Genpath, Inc.
• Rella Gevertzman
• Suchitra Ghumwala
• Michele A Giuffre, DMD
• Angela Gjorsoska, PHARMACIST

• Foot & Ankle Surgery Podiatrist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.