Organization Active NPI

Barbara a Cavallaro, MD PC

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1215401641
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Dec 8, 2019

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1821058629OtherNJINDIVIDUAL NPI
10697325OtherCAQH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.