Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alfredo S Masullo MD PA

Organization Dermatology Physician · NPI 1336149301

Alfredo S Masullo MD PA provides Dermatology Physician services in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Prospect Ave
Hackensack, NJ 07601-2256 Not confirmed with CMS for 18 years — call before visiting
Phone: (201) 488-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MA032378 (NJ)

Record details

NPI number1336149301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfredo Masullo — President · (201) 488-0707
NPI enumeratedJuly 29, 2005
Last updated in NPPESDecember 19, 2007
Mailing address120 Prospect Ave, Hackensack, NJ 07601-2256

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