Nicole Distefano
Psychologist, School in Clifton, New Jersey
1730804006- Practice location
- 159 Harding Ave, Clifton, NJ 07011-2624
- Phone
- 201-898-1490
- Fax
- —
- Last updated
- October 7, 2022
Nicole Distefano is a Psychologist, School based in Clifton, NJ. Nicole Distefano practices in Clifton, NJ. The NPI Number for Nicole Distefano is 1730804006. The current practice location address for Nicole Distefano is 159 Harding Ave, Clifton, NJ 07011-2624 and can be reached out via phone at 201-898-1490.
Provider Profile Details
- NPI Number
- 1730804006
- Provider Name
- Nicole Distefano
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 159 Harding Ave, Clifton, NJ 07011-2624
- Phone Number
- 201-898-1490
- Primary Taxonomy
- Psychologist, School · 103TS0200X
- Sole Proprietor
- No
- Other Names
- Nicole Prieto (Former Name)
- Provider Enumeration Date
- October 7, 2022
- Last Update Date
- October 7, 2022
- Certification Date
- October 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Harding Ave
Clifton, NJ 07011-2624 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-2624
- Phone Number
- 201-898-1490
Provider Business Mailing Address Details
- Address
- 159 Harding Ave
Clifton, NJ 07011-2624 - City
- Clifton
- State
- NJ
- Zip
- 07011-2624
- Phone Number
- 201-898-1490
License Information
- License State
- NJ
- Taxonomy
- Psychologist, School · 103TS0200X · 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 Nicole Distefano?
The NPI number of Nicole Distefano is 1730804006. It was assigned on October 7, 2022 and is currently active in the NPPES registry.
What is the specialty of Nicole Distefano?
Nicole Distefano is registered under the primary taxonomy Psychologist, School (code 103TS0200X).
Where does Nicole Distefano practice?
The practice location is 159 Harding Ave, Clifton, NJ 07011-2624. The office can be reached at 201-898-1490 (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 1730804006 directly on the NPPES registry website.