Provider Demographics
NPI:1518077106
Name:CAFARO, JOHN A (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:CAFARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 STEWART AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-222-0722
Mailing Address - Fax:516-683-0184
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-0722
Practice Address - Fax:516-683-0184
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113141668013OtherCIGNA
NY18547OtherVYTRA
NYOC7422OtherPHS (HEALTHNET)
NY2125082OtherAETNA HMO
NY24E9910OtherBLUE CHOICE
NY71554OtherGHI HMO
NYAP326OtherOXFORD
NY1227118OtherUNITED HEALTHCARE
NY4307335OtherAETNA PPO/POS
NY0200845OtherGHI
NY1227118OtherUNITED HEALTHCARE
NYAA51053OtherMDNY
NY024E9910OtherEMPIRE PLAN
NY2125082OtherAETNA HMO
NYAP326OtherOXFORD