Individual provider Active NPI

Barbara Anne Cavallaro, MD

  • Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1821058629
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MA54376 Issued in NJ
Practice address
211 Essex St Ste 402
Hackensack, NJ 07601-3246
Phone
(201) 301-2772
Fax
(845) 544-2201
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MA54376 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 402
Hackensack, NJ 07601-3246

Mailing address

211 Essex St
Ste 402
Hackensack, NJ 07601-3246
Phone (201) 488-2288

Other practice location 1

170 Prospect Ave
Hackensack, NJ 07601-1820
Phone (201) 488-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000318 NJ Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 6002074903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA54376NJMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: barbara.cavallaro.1@24719.direct.athenahealth.com
  • Direct secure messaging: barbara.cavallaro.1@26778.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1821058629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "STE 402",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013246",
            "telephone_number": "201-488-2288",
            "fax_number": "201-488-2298"
        },
        {
            "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",
            "fax_number": "845-544-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011820",
            "country_code": "US",
            "telephone_number": "201-488-2288",
            "fax_number": "201-488-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "BARBARA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "MA54376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.