Look up the most recent NPI and PECOS records

Cavallaro Family Practice

Family Medicine

Allopathic & Osteopathic Physicians

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

PECOS Enrollment

Based on the most recent information from CMS, provider Cavallaro Family Practice does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1972885952
Provider Type
Organization
Full Name
Cavallaro Family Practice

Subpart
No
Enumeration Date
9/15/2011
Last Updated
9/15/2011

Contact Information

Practice Location

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

(853) 232-3005

Unlisted Fax

Mailing Location

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

(853) 232-3005

Unlisted Fax

Authorized Official

Cavallaro, Joseph (Ceo)

(856) 232-3005

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MB07580400 New Jersey

Cavallaro Family Practice

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Patient First New Jersey Physicians Group Llc

London, Jerome R.

Costa, Ralph Floyd

David Zalut, Md

Parayil, Cible Mathulla

Maffei, Mario

Kennedy Care Center,P.A.

Bendala, Preeti

Shmuel, Chelsea

Abdeljawad, Mohammad