Alfredo S Masullo MD PA
NPI 1336149301ActiveOrganization· Dermatology· Hackensack, NJ
Dermatology in Hackensack, New Jersey, registered in NPPES in July 2005. The authorized official on file is Alfredo S. Masullo, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336149301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2005 |
| Last updated in NPPES | Dec 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MA032378 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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