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

Thomas Edward Masullo, MSN, CRNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821756057

Thomas Edward Masullo, MSN, CRNP-BC is a Nurse Practitioner in Collingswood, New Jersey. Qualified in 2021, 5 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

900 Haddon Ave Ste 134
Collingswood, NJ 08108-2110
Phone: (856) 676-2337
Fax: (856) 903-3450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NR16342900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP024997 (PA)

Record details

NPI number1821756057
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , CRNP-BC
Sole proprietorYes
NPI enumeratedDecember 6, 2021
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nj Memory And Behavioral Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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