Individual provider Active NPI

John Anthony Vullo, MD

  • Anesthesiology Physician
  • Passaic, NJ
National Provider Identifier
1043576705
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
274161 Issued in NY
Practice address
350 Boulevard
Passaic, NJ 07055-2840
Phone
(973) 365-4410
NPI assigned
Apr 6, 2012
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 274161 NY
Anesthesiology Physician 207L00000X 274161 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

465 Tuckahoe Rd # 1232
Yonkers, NY 10710-5707

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4316

Other practice location 2

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1000

Other practice location 3

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Other practice location 4

226 Westchester Ave
White Plains, NY 10604-2917
Phone (914) 437-9910

Other practice location 5

1 Gustave L Levy Pl
New York, NY 10029
Phone (212) 241-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180619001158 NY Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9931454782 Reassigns benefits to 7 organizations
I20251226000817 NJ Practitioner - Anesthesiology 9931454782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

530 1St Ave
New York, NY 10016-6402

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Anesthesiology CurrentSince Sep 10, 2023 Accepting new patients
New York University CurrentSince Dec 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Sep 10, 2023 Accepting new patients
St Marys General Medical Group PC CurrentSince Jun 1, 2025 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Jan 31, 2023 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jan 3, 2025 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic, LLC CurrentSince Jun 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 5, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2018 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC CurrentSince Jun 1, 2025 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New York University Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 24, 2024 Accepting new patients

Locations

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

7 Southwoods Blvd
Ste 4
Albany, NY 12211

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1190 5th Ave
#2W
New York, NY 10029
Phone (212) 241-5646

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1043576705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 TUCKAHOE RD # 1232",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 E Post Rd",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014607",
            "country_code": "US",
            "telephone_number": "914-681-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106042917",
            "country_code": "US",
            "telephone_number": "914-437-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10029",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULLO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "274161",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "274161",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.