Michael Distasio
Nurse Practitioner, Family in New Haven, Connecticut
1194580795- Practice location
- Yale New Haven Health, 789 Howard Avenue, New Haven, CT 06460
- Phone
- 203-430-6379
- Fax
- —
- Last updated
- December 5, 2024
Michael Distasio is a Nurse Practitioner, Family based in New Haven, CT. Michael Distasio practices in New Haven, CT. The NPI Number for Michael Distasio is 1194580795 and holds a License No. 154019 (CT). The current practice location address for Michael Distasio is Yale New Haven Health, 789 Howard Avenue, New Haven, CT 06460 and can be reached out via phone at 203-430-6379.
Provider Profile Details
- NPI Number
- 1194580795
- Provider Name
- Michael Distasio
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Yale New Haven Health, 789 Howard Avenue, New Haven, CT 06460
- Phone Number
- 203-430-6379
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 14, 2024
- Last Update Date
- December 5, 2024
- Certification Date
- December 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Yale New Haven Health
789 Howard Avenue
New Haven, CT 06460 - City
- New Haven
- State
- Connecticut
- Zip
- 06460
- Phone Number
- 203-430-6379
Provider Business Mailing Address Details
- Address
- 69 Carriage Path S
Milford, CT 06460-7544 - City
- Milford
- State
- CT
- Zip
- 06460-7544
License Information
- License Number (1)
- 154019
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse, Critical Care Medicine · 163WC0200X
- License Number (2)
- 14094
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael Distasio?
The NPI number of Michael Distasio is 1194580795. It was assigned on February 14, 2024 and is currently active in the NPPES registry.
What is the specialty of Michael Distasio?
Michael Distasio is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 154019.
Where does Michael Distasio practice?
The practice location is Yale New Haven Health, 789 Howard Avenue, New Haven, CT 06460. The office can be reached at 203-430-6379 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194580795 directly on the NPPES registry website.