ALFREDO S MASULLO MD PA
NPI 1336149301
Dermatology in Hackensack, NJ

Active since July 29, 2005
120 PROSPECT AVE, HACKENSACK, NJ 07601(201) 488-0707 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alfredo S Masullo Md Pa NPPES

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

ALFREDO S MASULLO MD PA (NPI 1336149301) is a healthcare organization registered as a dermatology in Hackensack, New Jersey and active in the NPI registry since July 2005. The organization lists Alfredo S Masullo, President, as its authorized official.

NPPES Registry Identity

NPI1336149301
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALFREDO S MASULLO MD PA
Location Address120 PROSPECT AVEHackensack, NJ 07601-2256
Mailing Address120 Prospect AveHackensack, NJ 07601-2256 · (201) 488-0707
Organization SubpartNo
Authorized OfficialAlfredo S MasulloPresident · (201) 488-0707
Enumeration DateJuly 29, 2005
Last NPPES UpdateDecember 19, 2007
NPI 1336149301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
120 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 2

Medicare ID-Type Unspecified103493
Medicare UPINC53267

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Nurse Practitioner (Adult Health)
120 PROSPECT AVE
HACKENSACK, NJ 07601
Dermatology
120 PROSPECT AVE
HACKENSACK, NJ 07601
Specialist
120 PROSPECT AVE
HACKENSACK, NJ 07601
Obstetrics & Gynecology
120 PROSPECT AVE
HACKENSACK, NJ 07601

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 S Masullo MD PA's NPI number?

The NPI number for Alfredo S Masullo MD PA is 1336149301. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Alfredo S Masullo MD PA located?

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

What is Alfredo S Masullo MD PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Alfredo S Masullo MD PA was last updated on December 19, 2007. 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.