Active NPIIndividual provider

Michael C Distefano, MD

Orthopaedic Surgery in Paramus, New Jersey

NPI Number1407883887
Practice location
140 Route 17 North, Suite 255, Paramus, NJ 07652
Fax
201-261-3350
Last updated
July 8, 2007

Michael Charles Distefano is an Orthopaedic Surgery based in Paramus, NJ. Michael Charles Distefano practices in Paramus, NJ and has the professional credentials of MD. The NPI Number for Michael Charles Distefano is 1407883887 and holds a License No. MA04126600 (NJ). The current practice location address for Michael Charles Distefano is 140 Route 17 North, Suite 255, Paramus, NJ 07652 and can be reached out via phone at 201-261-5501 and via fax at 201-261-3350.

Provider Profile Details

NPI Number
1407883887
Provider Name
Michael Charles Distefano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 Route 17 North, Suite 255, Paramus, NJ 07652
Phone Number
201-261-5501
Fax Number
201-261-3350
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Route 17 North
Suite 255
Paramus, NJ 07652
Zip
07652
Phone Number
201-261-5501
Fax Number
201-261-3350
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
140 Route 17 North
Suite 255
Paramus, NJ 07652
City
Paramus
State
NJ
Zip
07652
Phone Number
201-261-5501
Fax Number
201-261-3350

License Information

License Number
MA04126600
License State
NJ
Taxonomy
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 C Distefano, MD?

The NPI number of Michael C Distefano, MD is 1407883887. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael C Distefano, MD?

Michael C Distefano, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NJ under license number MA04126600.

Where does Michael C Distefano, MD practice?

The practice location is 140 Route 17 North, Suite 255, Paramus, NJ 07652. The office can be reached at 201-261-5501 (phone) or 201-261-3350 (fax).

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 1407883887 directly on the NPPES registry website.

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