ALFREDO SALVATORE MASULLO


Address: 120 Prospect Ave, Hackensack, NJ 07601-2256
Phone: 2014880707

ALFREDO SALVATORE MASULLO (NPI# 1255518205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255518205
Entity Type Individual
Full Name ALFREDO SALVATORE MASULLO
Credential MD
Practice Address 120 Prospect Ave
Hackensack
NJ 07601-2256
Practice Telephone 2014880707
Practice Fax Number 2014880708
Mailing Telephone 2014880707
Mailing Fax Number 2014880708
Enumeration Date 2008-01-22
Last Update Date 2008-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MA032378 NJ Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
MA032378 NJ Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
MA032378 NJ Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
MA032378 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 120 PROSPECT AVE
City HACKENSACK
State NJ
Zip Code 07601-2256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174523633 Robin Levat Specialist 120 Prospect Ave, Hackensack, NJ 07601-2256 2005-07-27
1760719793 Prospect Women's Medical Group, P.C. Obstetrics & Gynecology 120 Prospect Ave, Hackensack, NJ 07601-2256 2009-11-12
1134288202 Michele Jackson Newman Nurse Practitioner 120 Prospect Ave, Hackensack, NJ 07601-2256 2006-12-06
1275571242 Prospect Women's Medical Center Specialist 120 Prospect Ave, Hackensack, NJ 07601-2256 2006-06-03
1336149301 Alfredo S Masullo Md Pa Dermatology 120 Prospect Ave, Hackensack, NJ 07601-2256 2005-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
Find all providers in zip 07601

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548549322 Paul Nelson Dermatology 316 Prosepct Ave, Apt 9e, Hackensack, NJ 07061-2775 2011-08-10
1932273869 Michelle Glied Dermatology 721 Summit Ave, Hackensack, NJ 07601-1608 2006-11-20
1447609615 Saleh Rachidi Dermatology 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 2016-06-08
1871836668 Rachel K Rosenstein Dermatology 30 Prospect Ave, Hackensack, NJ 07601-1915 2013-04-01
1912296674 Kseniya Kobets Dermatology 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 2011-04-04
1972802783 Melissa Serravallo Dermatology 360 Essex St, Suite 201, Hackensack, NJ 07601-8550 2011-03-18
1104136381 Jeremy Robert Man Dermatology 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 2010-10-20
1790878866 David Hermogenes Ciocon Dermatology 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 2006-10-02
1811956600 Robin Ashinoff Dermatology 360 Essex Street, Suite 201, Hackensack, NJ 07601-8550 2006-03-21
1336149301 Alfredo S Masullo Md Pa Dermatology 120 Prospect Ave, Hackensack, NJ 07601-2256 2005-07-29
Find all providers in HACKENSACK

Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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