MICHAEL DISTEFANO, M.D., P.A. (NPI# 1902101710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902101710 |
| Entity Type | Organization |
| Organization Name | MICHAEL DISTEFANO, M.D., P.A. |
| Other Organization Name | MICHAEL DISTEFANO, M.D., P.A., DEPARTMENT OF PHYSICAL THERAPY |
| Practice Address |
140 N Rte 17 Suite 205 Paramus NJ 07652-2809 |
| Practice Telephone | 2012615501 |
| Practice Fax Number | 2012613350 |
| Mailing Telephone | 2012615501 |
| Mailing Fax Number | 2012613350 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-06-10 |
| Authorized Official Name | MRS. MARYANNE VITIELLO (PRACTICE MANAGER) |
| Authorized Official Telephone | 2012615501 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHAEL DISTEFANO, M .D., P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michael Distefano, M.D., P.A., Department of Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736270 | Michael Distefano, M.d., P.a. | Orthopaedic Surgery | 140 N Rte 17, Suite 255, Paramus, NJ 07652-2809 | 2007-12-14 |
| Street Address |
140 N RTE 17 SUITE 205 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093777476 | Sol Pediatrics LLC | Pediatrics | 140 N Rte 17, Suite 302, Paramus, NJ 07652-2809 | 2006-04-03 |
| 1427657014 | Mika Hirano Dpm PC | Clinic/Center | 140 N Rte 17, Paramus, NJ 07652-2809 | 2020-10-23 |
| 1578091773 | Mika Hirano | Podiatrist | 140 N Rte 17, Paramus, NJ 07652-2809 | 2017-06-01 |
| 1902347933 | Katherine Kurtz | Specialist | 140 N Rte 17, Suite 115, Paramus, NJ 07652-2809 | 2017-03-09 |
| 1245682483 | Jenica Aleyna Siniscalco | Social Worker | 140 N Rte 17, Paramus, NJ 07652-2809 | 2016-07-12 |
| 1235548454 | Paramus Hand Surgery | Surgery | 140 N Rte 17, Suite 323, Paramus, NJ 07652-2809 | 2014-08-13 |
| 1609289842 | Comprehensive Therapy of Paramus, LLC | Occupational Therapist | 140 N Rte 17, Suite 240, Paramus, NJ 07652-2809 | 2014-06-05 |
| 1023447968 | James Maginnis | Physician Assistant | 140 N Rte 17, Suite 255, Paramus, NJ 07652-2809 | 2013-11-01 |
| 1255684296 | Ani Christine Mooney | Counselor | 140 N Rte 17, Suite 312, Paramus, NJ 07652-2809 | 2012-10-15 |
| 1245585256 | Tdg Surgery, LLC | Clinic/Center | 140 N Rte 17, Suite 105, Paramus, NJ 07652-2809 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257212 | Nexgen Wellness | Orthopaedic Surgery | 33 E Midland Ave Unit 1365, Paramus, NJ 07652-2916 | 2020-05-26 |
| 1780240028 | Neil S Roth Md Pa | Orthopaedic Surgery | 37 W Century Rd Ste 101, Paramus, NJ 07652-1466 | 2019-05-13 |
| 1295825669 | Seth Kane M.d., P.a. | Orthopaedic Surgery | 277 Forest Ave., Suite 201, Paramus, NJ 07652-5410 | 2006-10-13 |
| 1619989712 | Stephen Joseph Mcilveen | Orthopaedic Surgery | One West Ridgewood Avenue, Suite 307, Paramus, NJ 07652 | 2006-08-13 |
| 1407883887 | Michael Charles Distefano | Orthopaedic Surgery | 140 Route 17 North, Suite 255, Paramus, NJ 07652 | 2006-06-28 |
| 1952361982 | Andrew Wayne Beharrie | Orthopaedic Surgery | 499 S Rte 17, Paramus, NJ 07652-3001 | 2006-03-24 |
| 1578546735 | V. Christopher Inzerillo | Orthopaedic Surgery | 499 Route 17 South, Paramus, NJ 07652 | 2005-11-22 |
| 1598131534 | Warren A Hammerschlag Md LLC | Orthopaedic Surgery | 22 Madison Ave, Ste 102, Paramus, NJ 07652-2734 | 2015-08-13 |
| 1982004529 | Ny Society for The Relief of Ruptured & Crippled Maintaining | Orthopaedic Surgery | 140 E Ridgewood Ave, Suite 175s, Paramus, NJ 07652-3917 | 2014-09-02 |
| 1902040546 | Ari Douglas Seidenstein | Orthopaedic Surgery | 10 Forest Ave, Paramus, NJ 07652-5242 | 2009-04-27 |
| Find all providers in PARAMUS | ||||
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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.