Organization Active NPI

Cavallaro Family Practice

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1972885952
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07580400 Issued in NJ
Legal business name
CAVALLARO FAMILY PRACTICE
Practice address
701 White Horse Rd
Suite 4
Voorhees, NJ 08043-2494
Phone
(853) 232-3005
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Joseph Cavallaro, DO
Title
Ceo
Phone
(856) 232-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB07580400 NJ Primary

Addresses

Primary practice location

701 White Horse Rd
Suite 4
Voorhees, NJ 08043-2494

Mailing address

701 White Horse Rd
Suite 4
Voorhees, NJ 08043-2494
Phone (853) 232-3005

National Provider Directory

National Provider Directory

Locations

438 Ganttown Rd
#B89
Sewell, NJ 08080

701 White Horse Rd
Ste 4
Voorhees, NJ 08043
Phone (853) 232-3005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1972885952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WHITE HORSE RD",
            "address_2": "SUITE 4",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432494",
            "telephone_number": "853-232-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE HORSE RD",
            "address_2": "SUITE 4",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432494",
            "telephone_number": "853-232-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALLARO FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-232-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07580400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.