Michael Charles Distefano, MD

Orthopaedic Surgery Physician · Paramus, NJ

Individual Active NPI

NPI number 1407883887

Practice location

140 Route 17 North
Suite 255
Paramus, NJ 07652
Phone
(201) 261-5501
Fax
(201) 261-3350

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NPI record

NPI
1407883887
Entity type
Individual (Type 1)
Enumeration date
June 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X MA04126600 NJ

About Dr. Distefano

Michael Charles Distefano, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 140 Route 17 North, Suite 255, Paramus, NJ 07652. The NPI number 1407883887 was assigned on June 28, 2006 and the record was last updated on July 8, 2007.

Dr. Distefano lists a license in the registry: #MA04126600 (NJ) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Charles Distefano, MD?

The NPI number is 1407883887.

What is the phone number of Dr. Distefano?

The phone number listed for the practice location is (201) 261-5501.

Where is Dr. Distefano located?

140 Route 17 North, Suite 255, Paramus, NJ 07652.

What is the taxonomy code for Dr. Distefano?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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