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ALFREDO SALVATORE MASULLO MD
NPI 1255518205
Dermatology in Hackensack, NJ

Active since January 22, 2008PECOS Enrolled
120 PROSPECT AVE, HACKENSACK, NJ 07601(201) 488-0707(201) 488-0708 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alfredo Salvatore Masullo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFREDO SALVATORE MASULLO MD (NPI 1255518205) is an individual dermatology provider in Hackensack, New Jersey, licensed in New Jersey (MA032378) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1975).

NPPES Registry Identity

NPI1255518205
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameALFREDO SALVATORE MASULLOCredential: MD
Location Address120 PROSPECT AVEHackensack, NJ 07601-2256
Mailing Address120 Prospect AveHackensack, NJ 07601-2256 · (201) 488-0707 · Fax (201) 488-0708
Phone(201) 488-0707
Fax(201) 488-0708
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1975
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1255518205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · MA032378
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MA032378 (NJ)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License MA032378 (NJ)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MA032378 (NJ)
120 PROSPECT AVE, Hackensack, NJ 07601
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Other Identifiers 2

Medicare PIN103493NJ
Medicare UPINC53267NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfredo Salvatore Masullo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193862373
PECOS Enrollment IDI20091020000590
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alfredo Masullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alfredo S Masullo MD PA
0.6 mi
Dermatology
120 PROSPECT AVE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1336149301 (201) 488-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services68 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11312
This procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth being treated is between 1.1 and 2.0 cm in size. The process is typically quick, with minimal discomfort, and aids in maintaining skin health.
13 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE JACKSON NEWMAN N.P.
Nurse Practitioner (Adult Health)
120 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 342-1600
PROSPECT WOMEN'S MEDICAL CENTER
Specialist
120 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 342-1600
ALFREDO S MASULLO MD PA
Dermatology
120 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 488-0707
PROSPECT WOMEN'S MEDICAL GROUP, P.C.
Obstetrics & Gynecology
120 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 342-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfredo Masullo's NPI number?

The NPI number for Alfredo Masullo is 1255518205. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Alfredo Masullo located?

Alfredo Masullo practices at 120 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 488-0707.

What is Alfredo Masullo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Alfredo Masullo enrolled in Medicare?

Yes. Alfredo Masullo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alfredo Masullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfredo Masullo reassigns Medicare benefits to Alfredo S Masullo MD PA (Hackensack, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfredo Masullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alfredo Masullo was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.