MICHAEL WILLIAM DESTEFANO (NPI# 1326369943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326369943 |
| Entity Type | Individual |
| Full Name | MICHAEL WILLIAM DESTEFANO |
| Credential | MICHAEL DESTEFANO |
| Practice Address |
1 Cooper Plz Camden NJ 08103 |
| Mailing Address |
1 Federal St Ste Sw200 Camden NJ 08103-1155 |
| Practice Telephone | 8563422383 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA10390300 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
278012-1 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Gustave L Levy Pl, New York, NY 100296504 | 2122416500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873369 | Michael Destefano | Physical Therapy Assistant | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2020-05-27 |
| 1407200116 | Michael Destefano | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-04-19 |
| 1982972378 | Michael A Destefano | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2011-12-13 |
| 1295912988 | Michael G Destefano | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2008-01-25 |
| 1588796320 | Michael Don Destefano | Pediatrics | 7000 W 111th St, Worth, IL 60482-1851 | 2007-03-09 |
| 1972536712 | Michael J Destefano | Social Worker | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-07 |
| 1609864040 | Michael Joseph Destefano | Obstetrics & Gynecology | 100 Navarre Pl, Ste. 4470, South Bend, IN 46601-1156 | 2005-10-10 |
| Street Address |
1 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770920746 | Chandni Bhimani | Radiology | 1 Cooper Plz Ste B23, Camden, NJ 08103-1461 | 2013-05-30 |
| 1265593347 | Donald J Copley | Radiology | 1 Haile and Roberts St, Camden, SC 29020 | 2006-12-13 |
| 1073683587 | Yasseen Kuzbary | Radiology | Haile and Roberts Streets, Camden, SC 29020 | 2006-11-09 |
| 1881014421 | Zachary Scott Mikes | Radiology | 1 Cooper Plaza, Suite B23, Camden, NJ 08103 | 2014-04-22 |
| 1831451798 | Rohan Amin | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-06-15 |
| 1023384088 | Maria Christina Sciotto | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-03-23 |
| 1629352083 | Ian Hayden | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2011-10-04 |
| 1023315819 | Allison Solish Gittens | Radiology | 1 Cooper Plz, B23, Camden, NJ 08103-1461 | 2011-02-15 |
| 1396066916 | Diana C Matteo | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-17 |
| 1508187246 | Anil Syal | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-16 |
| Find all providers in CAMDEN | ||||
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| 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.