Alfredo S Masullo MD PA
NPI 1336149301 · Dermatology Physician · Hackensack, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alfredo S Masullo MD PA is a Dermatology Physician organization in Hackensack, NJ (NPI 1336149301).
Provider details
- NPI number
- 1336149301
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alfredo Masullo, President(201) 488-0707
- License
- MA032378 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2007-12-19
Frequently asked questions
- What is Alfredo S Masullo MD PA's NPI number?
- Alfredo S Masullo MD PA's National Provider Identifier (NPI) is 1336149301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alfredo S Masullo MD PA?
- Alfredo S Masullo MD PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Alfredo S Masullo MD PA located?
- Alfredo S Masullo MD PA's practice location on file with NPPES is 120 Prospect Ave, Hackensack, NJ 07601-2256.
- What is Alfredo S Masullo MD PA's phone number?
- The practice phone number listed in the NPPES registry for Alfredo S Masullo MD PA is (201) 488-0707.
- Does Alfredo S Masullo MD PA accept Medicare?
- Alfredo S Masullo MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alfredo S Masullo MD PA?
- The authorized official listed on Alfredo S Masullo MD PA's NPPES record is Alfredo Masullo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alfredo S Masullo MD PA's NPI active?
- Yes — Alfredo S Masullo MD PA's NPI (1336149301) is active in the NPPES registry as of the last update on 2007-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.