MEDICARE: CATALDO CACACE M D LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	25MA04206000	NJ

General Provider Information

NPI Number	:	1538489471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALDO CACACE M D LLC

Provider Business Mailing Address
First Line	:	1050 WALL ST W STE 360
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-3604
Country	:	US
Telephone Number	:	201-821-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 SUMMIT AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2022
Country	:	US
Telephone Number	:	201-867-8555
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. CATALDO CACACE
Credential	:	M.D.
Telephone Number	:	201-867-8555

Provider Enumeration Date	:	06/02/2010
Last Update Date	:	12/11/2023

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