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: July 19, 2026.

  • Organization
  • Dermatology

About ALFREDO S MASULLO MD PA

This page provides the complete NPI Profile along with additional information for Alfredo S Masullo Md Pa, a provider established in Hackensack, New Jersey operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1336149301 assigned on July 2005. The practitioner's primary taxonomy code is 207N00000X with license number MA032378 (NJ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Alfredo S Masullo Md (President)

NPI
1336149301 Verify this NPI
Provider Name
ALFREDO S MASULLO MD PA
Entity Type
Organization
Location Address
120 PROSPECT AVE HACKENSACK, NJ 07601
Location Phone
(201) 488-0707
Mailing Address
120 PROSPECT AVE HACKENSACK, NJ 07601
Mailing Phone
(201) 488-0707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2005
Last Update Date
12-19-2007
Code Navigator

A dermatologist like Alfredo S Masullo Md Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MA032378
License State
NJ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALFREDO S MASULLO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 488-0707

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
103493MEDICARE ID-TYPE UNSPECIFIED (04) 
C53267MEDICARE UPIN (02) 

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336149301, enumerated as an "organization" on July 29, 2005.

The provider is located at 120 PROSPECT AVE HACKENSACK, NJ 07601 and the phone number is (201) 488-0707.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.