DR. DOUGLAS CRAIG DISTEFANO (NPI# 1487795225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487795225 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS CRAIG DISTEFANO |
| Credential | M.D. |
| Practice Address |
1185 Park Ave Apt 1l New York NY 10128-1307 |
| Practice Telephone | 2124276101 |
| Practice Fax Number | 2124276128 |
| Mailing Telephone | 2124276101 |
| Mailing Fax Number | 2124276128 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
127858 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00349606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225537525 | Douglas Logan Distefano | Physical Therapist | 100 Calella Rd Ste 100, Hot Springs Village, AR 71909-3174 | 2018-02-02 |
| Street Address |
1185 PARK AVE APT 1L |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206288 | Suzanne R Steinbaum Do PC | Internal Medicine | 800 5th Ave Ste 205, New York, NY 10065-7216 | 2019-10-14 |
| 1902460124 | Victory Medical Associates PC | Internal Medicine | 129 Central Park N, New York, NY 10026-4201 | 2019-04-23 |
| 1881176931 | Craig H. Warschauer, M.d., P.C. | Internal Medicine | 1440 York Ave Ofc P9, New York, NY 10075-2577 | 2018-09-05 |
| 1902257520 | Mithun Jacob Varghese | Internal Medicine | C/o Maria Directo, Mount Sinai Hospital, One Gustave Levy Place, Box 1030, New York, NY 10029 | 2016-06-24 |
| 1154778900 | Amir Ahmadi | Internal Medicine | 525 E 72nd St Apt 27a, New York, NY 10021-9609 | 2016-05-23 |
| 1922496603 | Margaret A Sullivan Md | Internal Medicine | 8 E 83rd St # 1b, New York, NY 10028-0418 | 2015-01-02 |
| 1851702971 | New Wave Diagnostic Radiology Pllc | Internal Medicine | 1438 3rd Ave Apt 27b, New York, NY 10028-1980 | 2014-05-12 |
| 1609286301 | Daniel Yang Lu | Internal Medicine | 520 East 70th Street, Starr Pavilion, 4th Floor, New York, NY 10021 | 2014-05-02 |
| 1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
| 1982026266 | Rudolf Zalter | Internal Medicine | 10 East End Ave., #1h, New York, NY 10075 | 2014-01-06 |
| Find all providers in NEW YORK | ||||
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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.