Peter M Destefano (NPI# 1164403127, PAC ID# 8224060991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1164403127 |
| PAC ID by PECOS | 8224060991 |
| Professional Enrollment ID | I20050901000620 |
| Full Name | Peter M Destefano |
| Address |
669 Chambers St Suite A Trenton NJ 08611-3719 |
| Phone Number | 6096952676 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310021 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 669 Chambers St, Suite A, Trenton, NJ 08611-3719 | 6096952676 | |
| 669 Chambers St, Trenton, NJ 08611-3719 | 6096952676 |
| Street Address |
669 CHAMBERS ST SUITE A |
| City | TRENTON |
| State | NJ |
| Zip | 08611-3719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alpa R Patel | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Monique Cecelia Gantier | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Steven Brooks | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Michael H Rizkalla | Physical Medicine and Rehabilitation | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Adam Saalfelder | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Gary Ira Berkowitz | Psychologist, Clinical | 512 Union St, Trenton, NJ 08611-2800 |
| City | TRENTON |
| Zip Code | 08611 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TRENTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Peter M Destefano.
| 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.