Kenneth L Distefano Sr. (NPI# 1346324852, PAC ID# 3173568953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1346324852 |
| PAC ID by PECOS | 3173568953 |
| Professional Enrollment ID | I20050622000689 |
| Full Name | Kenneth L Distefano Sr. |
| Address |
1 Mount Prospect Ave Verona NJ 07044-2707 |
| Phone Number | 9732397777 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1968 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Mount Prospect Ave, Verona, NJ 07044-2707 | 9732397777 |
| Street Address |
1 MOUNT PROSPECT AVE |
| City | VERONA |
| State | NJ |
| Zip | 07044-2707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Champey | Anesthesiology | 1 Mount Prospect Ave, Verona, NJ 07044-2707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell I Karmel | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 12 Oakridge Rd, Verona, NJ 07044-1116 |
| Gabrielle Nitti | Optometry | 825 Bloomfield Ave, Suite 201, Verona, NJ 07044-1300 | |
| Paul J Loverme | Plastic and Reconstructive Surgery | 825 Bloomfield Ave, Suite 205, Verona, NJ 07044-1300 | |
| Kyle Bensinger | Optometry | Eye Surgeons and Physicians, Pa | 799 Bloomfield Ave, Suite 100, Verona, NJ 07044-1301 |
| Kristina E Hicks | Physical Medicine and Rehabilitation | North Atlantic Pain and Rehab Associates, LLC | 799 Bloomfield Ave, Suite 303, Verona, NJ 07044-1301 |
| Oleg Shulik | Gastroenterology | Mpv New Jersey Md Services PC | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 |
| Daniel D Manzi | Gastroenterology | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 | |
| Rohit Keswani | Physical Medicine and Rehabilitation | North Atlantic Pain and Rehab Associates, LLC | 799 Bloomfield Ave, Suite 303, Verona, NJ 07044-1301 |
| Judith M Zwer | Nurse Practitioner | Humc Cardiovascular Partners, P.C. | 799 Bloomfield Ave, Suite 112, Verona, NJ 07044-1301 |
| Dennis A Tobia | Gastroenterology | Dennis A Tobia Md Pa | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 |
| Find all physicians in zip 07044 | |||
| City | VERONA |
| Zip Code | 07044 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | VERONA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Kenneth L Distefano Sr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.