Provider Demographics
NPI:1770649212
Name:DAYSPRING & MACALUSO MD'S
Entity Type:Organization
Organization Name:DAYSPRING & MACALUSO MD'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:MACALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-790-8604
Mailing Address - Street 1:516 HAMBURG TPKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2062
Mailing Address - Country:US
Mailing Address - Phone:973-790-8604
Mailing Address - Fax:973-790-1488
Practice Address - Street 1:516 HAMBURG TPKE
Practice Address - Street 2:SUITE 5
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2062
Practice Address - Country:US
Practice Address - Phone:973-790-8604
Practice Address - Fax:973-790-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA26196261QP2300X
NJMA27363261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ527753Medicare ID - Type UnspecifiedTHOMAS D DAYSPRING
NJC63117Medicare UPIN
NJC63118Medicare UPIN
NJ527753Medicare ID - Type UnspecifiedCHARLES F MACALUSO, MD