Organization Active NPI

Cavallo & Horlick, LLP

  • Specialist
  • Selden, NY
National Provider Identifier
1518173897
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAVALLO & HORLICK, LLP
Practice address
325 Middle Country Rd
Selden, NY 11784-2545
Phone
(631) 732-9090
Fax
(631) 732-8235
NPI assigned
May 15, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Joseph Keith Cavallo, MDNPI 1932212354
Title
Partner
Phone
(631) 732-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

325 Middle Country Rd
Selden, NY 11784-2545

Mailing address

325 Middle Country Rd
Selden, NY 11784-2545
Phone (631) 732-9090

Other identifiers 2

IdentifierTypeStateIssuer
1669585089OtherNYINDIVIDUAL NPI
1932212354OtherNYINDIVIDUAL DR NPI

National Provider Directory

National Provider Directory

Locations

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1518173897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-732-9090",
            "fax_number": "631-732-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-732-9090",
            "fax_number": "631-732-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALLO & HORLICK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "CAVALLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-732-9090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669585089",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL DR NPI",
            "identifier": "1932212354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.