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

Alfredo Salvatore Masullo, MD

Individual provider Dermatology Physician · NPI 1255518205

Alfredo Salvatore Masullo, MD is a Dermatology in Hackensack, New Jersey. Graduated from Rutgers New Jersey Medical School in 1975, 51 years ago. Licensed in New Jersey.

Years since qualifying
51
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Prospect Ave
Hackensack, NJ 07601-2256
Phone: (201) 488-0707
Fax: (201) 488-0708
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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)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MA032378 (NJ)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence MA032378 (NJ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MA032378 (NJ)

Record details

NPI number1255518205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJanuary 28, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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