John S Cavallaro Jr., DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

039472 Issued in NY

Practice address

315 Avenue W
Brooklyn, NY 11223-5218

Phone

(718) 336-4646

Fax

(718) 336-2320

NPI assigned

Aug 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1477868974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235218",
            "telephone_number": "718-336-4646",
            "fax_number": "718-336-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235218",
            "telephone_number": "718-336-4646",
            "fax_number": "718-336-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "039472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cavaliere, CASAC T
• Joanne Cavaliere, PT
• Kelli Cavaliere
• Cavallaro Medical Supply Inc
• Emily Cavallaro
• Vincent Joseph Cavallaro, P.T.
• Nathaniel Ryan Cavalletto, LCSW
• Barbara Lynn Cavallo, LCSW
• Donna Cavalluzzi, LCSW
• Monica Mercedes Cavanagh

• Prosthodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.