MR. JOSEPH K CAVALLO (NPI# 1932212354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932212354 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH K CAVALLO |
| Credential | MD |
| Practice Address |
1500 Route 112 Bldg 6 Port Jefferson Station NY 11776-8054 |
| Mailing Address |
1500 Route 112 Bldg 6 Port Jeff Sta NY 11776-8054 |
| Practice Telephone | 6317329090 |
| Practice Fax Number | 6317328235 |
| Mailing Telephone | 6317329090 |
| Mailing Fax Number | 6317328235 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 158971 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184834863 | Joseph Paul Cavallo | Dentist | 12502a Lake Ridge Drive, Woodbridge, VA 22192 | 2007-05-23 |
| 1992271563 | Joseph Cavallo | Peer Specialist | 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 | 2018-10-22 |
| 1346687308 | Joseph James Cavallo | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2013-05-31 |
| 1033150495 | Joseph Louis Cavallo | Optometrist | 34 Ridgedale Ave, East Hanover, NJ 07936-1012 | 2006-06-09 |
| Street Address |
1500 ROUTE 112 BLDG 6 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871150193 | Harbor View Medical Services, P.C. | Internal Medicine | 1500 Route 112 Bldg 6, Port Jefferson Station, NY 11776-8054 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538356308 | Adam Joseph Korzenko | Dermatology | 6 Medical Drive, Port Jefferson Professional Park, Suite D, Port Jefferson Station, NY 11776 | 2007-09-26 |
| 1902837396 | Peter A Klein, Md, Faad, PC | Dermatology | 6 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1594 | 2006-07-05 |
| 1669444147 | Peter A Klein | Dermatology | 6 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1594 | 2006-02-07 |
| 1235114752 | Jacqueline Sherry Fern | Dermatology | 2 Medical Dr, Suite A, Port Jefferson Station, NY 11776-1598 | 2005-12-07 |
| 1710988613 | Winston Dermatology Associates, PC | Dermatology | 2 Medical Dr, Ste A, Port Jefferson Station, NY 11776-1598 | 2005-08-02 |
| 1194725242 | Michael Howard Winston | Dermatology | 2 Medical Dr, Suite A, Port Jefferson Station, NY 11776-1598 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| 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.