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 is a Dermatology Physician 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
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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