DR. JOSEPH DISTEFANO (NPI# 1013357383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013357383 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH DISTEFANO |
| Credential | DPM |
| Practice Address |
8835 Germantown Ave Philadelphia PA 19118-2718 |
| Mailing Address |
5348 Tally Green Drive Marietta GA 30068-2879 |
| Practice Telephone | 2152488200 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01669 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF PODIATRY | 01669 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512559 | Joseph Edward Distefano | Pharmacist | 44900 Winchester Rd, Temecula, CA 92590-2579 | 2017-08-03 |
| 1205087822 | Joseph M. Distefano | Dentist | 733 Bloomfield Ave., Bloomfield, NJ 07003 | 2008-10-01 |
| 1093966616 | Joseph S. Distefano | Dentist | 733 Bloomfield Ave., Bloomfield, NJ 07003 | 2008-10-01 |
| Street Address |
8835 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19118-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657656 | Mulki Giridhar Bhat | Anesthesiology | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2005-05-23 |
| 1225645484 | Christina Rizzardi | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-09-30 |
| 1518575257 | Jin Oh Cho | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-20 |
| 1881212074 | Ryan Jeffrey Hippler | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-14 |
| 1356960686 | Abdul Abel Walters | Student in an Organized Health Care Education/Training Program | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-04-16 |
| 1821624990 | Amanda Stearns | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-03-20 |
| 1306476924 | Tower Health Medical Group | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-23 |
| 1285274969 | Chestnut Hill Clinic Company, LLC | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-10 |
| 1679131619 | Reid Ashton Singer | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2019-06-04 |
| 1730659707 | Alexander Mitchell | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380126 | Bridget Hirsch | Psychologist | 18 E Abington Avenue, Philadelphia, PA 19118 | 2018-06-20 |
| 1740719194 | Alyssa H Bloch | Speech-Language Pathologist | 8431 Germantown Avenue, Philadelphia, PA 19118 | 2017-06-08 |
| 1710344056 | Zachary Roberts | Physical Therapist | 19 West Highland Avenue, Philadelphia, PA 19118 | 2016-01-18 |
| 1164847810 | Judith Maxwell | Family Medicine | 415 West Mermaid Ln, Philadelphia, PA 19118 | 2014-03-04 |
| 1174963151 | Deborah Hope Cooper | Counselor | 22 E. Chestnut Hill Avenue, Samaritan Counseling Service, Philadelphia, PA 19118 | 2013-07-05 |
| 1730524349 | Breast-pump-rental.com | Durable Medical Equipment & Medical Supplies | 112 W Gravers Lane, Philadelphia, PA 19118 | 2013-05-09 |
| 1083964902 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7700 Crittenden Ave., Philadelphia, PA 19118 | 2012-09-18 |
| 1215286679 | Jessica M Steedle | Speech-Language Pathologist | 102 East Mermaid Lane, Philadelphia, PA 19118 | 2012-08-31 |
| 1083960124 | Fahad Malik Akhtar | Family Medicine | 8815 Germantown Avenue, 5th Floor, Philadelphia, PA 19118 | 2012-07-26 |
| 1992026793 | Valerie Mikula Hughes | Dentist | 9 E. Highland Ave, Philadelphia, PA 19118 | 2010-06-15 |
| Find all providers in zip 19118 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19118 |
Please comment or provide details below to improve the information on DR. JOSEPH DISTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.