Active NPI
Barbara a Cavallaro, MD PC
- Obstetrics & Gynecology Physician
- Hackensack, NJ
National Provider Identifier
1215401641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- BARBARA A CAVALLARO, MD PC
- Practice address
- 211 Essex St Ste 402
Hackensack, NJ 07601-3246 - Phone
- (201) 301-2772
- NPI assigned
- Jan 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth McGraw
- Title
- Administrator
- Phone
- (201) 688-0823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
211 Essex St Ste 402
Hackensack, NJ 07601-3246
Mailing address
PO Box 1140
Warwick, NY 10990-8140
Phone (201) 688-0823
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821058629 | Other | NJ | INDIVIDUAL NPI |
| 10697325 | Other | CAQH |
National Provider Directory
National Provider DirectoryLocations
30 Prospect Ave
#M
Hackensack, NJ 07601
Phone (201) 996-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575763200000",
"number": "1215401641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1140",
"city": "WARWICK",
"state": "NY",
"postal_code": "109908140",
"telephone_number": "201-688-0823",
"fax_number": "845-544-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 ESSEX ST STE 402",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076013246",
"telephone_number": "201-301-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA A CAVALLARO, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-18",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A",
"authorized_official_last_name": "MCGRAW",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-688-0823"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1821058629",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10697325",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.