Cynthia Carrole Sagullo, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA07103800 Issued in NJ

Practice address

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331

Phone

(201) 254-0260

Fax

(844) 262-9607

NPI assigned

Apr 28, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1710944194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GODWIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-891-3336",
            "fax_number": "201-891-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-254-0260",
            "fax_number": "844-262-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGULLO",
        "first_name": "CYNTHIA",
        "middle_name": "CARROLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA07103800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Rzhavinsky
• S. Jakob Mahler Psychology Group
• S. Jakob Mahler Psychology Group LLC
• Alexandra Sack, L.AC.
• Sadia R Chaudry MD LLC
• Kinga Salabaj
• Jahangir Salik, D.C
• Sandeep Singh Saluja, MD
• Salvatore J. Milazzo,D.O.,P.a.
• Samala Integrative Psych LLC

• Gynecology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.