Active NPIIndividual providerSole proprietor

Kevin Gazzale, PA

Physician Assistant in East Brunswick, New Jersey

NPI Number1689439606
Practice location
645 Route 18, East Brunswick, NJ 08816-3760
Fax
—
Last updated
May 20, 2024

Kevin Gazzale is a Physician Assistant based in East Brunswick, NJ. Kevin Gazzale practices in East Brunswick, NJ and has the professional credentials of PA. The NPI Number for Kevin Gazzale is 1689439606 and holds a License No. 25MP00835600 (NJ). The current practice location address for Kevin Gazzale is 645 Route 18, East Brunswick, NJ 08816-3760 and can be reached out via phone at 732-390-1160.

Provider Profile Details

NPI Number
1689439606
Provider Name
Kevin Gazzale
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
645 Route 18, East Brunswick, NJ 08816-3760
Phone Number
732-390-1160
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2024
Last Update Date
May 20, 2024
Certification Date
May 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
645 Route 18
East Brunswick, NJ 08816-3760
Zip
08816-3760
Phone Number
732-390-1160
East Brunswick, NJ 08816Get directions →

Provider Business Mailing Address Details

Address
645 Route 18
East Brunswick, NJ 08816-3760
City
East Brunswick
State
NJ
Zip
08816-3760
Phone Number
908-705-3746

License Information

License Number
25MP00835600
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin Gazzale, PA?

The NPI number of Kevin Gazzale, PA is 1689439606. It was assigned on February 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Kevin Gazzale, PA?

Kevin Gazzale, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00835600.

Where does Kevin Gazzale, PA practice?

The practice location is 645 Route 18, East Brunswick, NJ 08816-3760. The office can be reached at 732-390-1160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689439606 directly on the NPPES registry website.

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