Active NPIIndividual provider

Dr. Nicole Distano, DC

Chiropractor in Kearny, New Jersey

NPI Number1720270721
Practice location
655 Kearny Ave, Suite #102, Kearny, NJ 07032-2942
Fax
201-991-2383
Last updated
August 14, 2007

Nicole Distano is a Chiropractor based in Kearny, NJ. Nicole Distano practices in Kearny, NJ and has the professional credentials of DC. The NPI Number for Nicole Distano is 1720270721 and holds a License No. 38MC00660000 (NJ). The current practice location address for Nicole Distano is 655 Kearny Ave, Suite #102, Kearny, NJ 07032-2942 and can be reached out via phone at 201-991-0050 and via fax at 201-991-2383.

Provider Profile Details

NPI Number
1720270721
Provider Name
Nicole Distano
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
655 Kearny Ave, Suite #102, Kearny, NJ 07032-2942
Phone Number
201-991-0050
Fax Number
201-991-2383
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2007
Last Update Date
August 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
655 Kearny Ave
Suite #102
Kearny, NJ 07032-2942
City
Kearny
Zip
07032-2942
Phone Number
201-991-0050
Fax Number
201-991-2383
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
655 Kearny Ave
Suite #102
Kearny, NJ 07032-2942
City
Kearny
State
NJ
Zip
07032-2942
Phone Number
201-991-0050
Fax Number
201-991-2383

License Information

License Number
38MC00660000
License State
NJ
Taxonomy
Chiropractor · 111N00000X · 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 Dr. Nicole Distano, DC?

The NPI number of Dr. Nicole Distano, DC is 1720270721. It was assigned on August 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole Distano, DC?

Dr. Nicole Distano, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00660000.

Where does Dr. Nicole Distano, DC practice?

The practice location is 655 Kearny Ave, Suite #102, Kearny, NJ 07032-2942. The office can be reached at 201-991-0050 (phone) or 201-991-2383 (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 1720270721 directly on the NPPES registry website.

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