MRS. DEBRA ROMA-DISTEFANO (NPI# 1306810213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306810213 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA ROMA-DISTEFANO |
| Credential | APN |
| Practice Address |
5301 Broadway West New York NJ 07093-2622 |
| Mailing Address |
23 Parker Ct South Amboy NJ 08879-2200 |
| Practice Telephone | 2018669320 |
| Mailing Telephone | 7327275228 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
26NN07052100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0028401 | 05 |
| Street Address |
5301 BROADWAY |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466048 | Patricia Mary Boyce | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-08-07 |
| 1215567409 | Danny Tamayo | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-01-16 |
| 1912545112 | Elizabeth Sasso-karelitsky | Dietitian, Registered | 5301 Broadway, West New York, NJ 07093-2622 | 2019-12-18 |
| 1952954398 | Kassandra Lynn Kayal | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-07-23 |
| 1124591052 | Jacquelyn S Stathis | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-01-03 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1871929885 | Ololade F Akinronbi | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2013-09-23 |
| 1891049490 | Velma Asneth Frasier | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-11-04 |
| 1265707863 | Lybia Burgos | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-03-14 |
| 1043584378 | Lucia Jacqueline Knapp | Counselor | 5301 Broadway, West New York, NJ 07093-2622 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466048 | Patricia Mary Boyce | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-08-07 |
| 1417046012 | Joan Leslie Mcentee | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104648 | Veronica P Garces | Nurse Practitioner | 716 Broad St Ste 2a, Clifton, NJ 07013-1645 | 2020-05-02 |
| 1497394878 | Michele Anne Strykowsky | Nurse Practitioner | 227 Laurel Rd, Ste 300, Voorhees, NJ 08043-8303 | 2020-01-02 |
| 1528601564 | Whitney Grimm | Nurse Practitioner | 1200 Clinton St Apt 520, Hoboken, NJ 07030-3293 | 2019-10-22 |
| 1932759255 | Stacy Marie Karle | Nurse Practitioner | 401 Young Ave Ste 146b, Moorestown, NJ 08057-3130 | 2019-09-18 |
| 1609424043 | Alicia Kevette Rogers | Nurse Practitioner | 128 Rehill Ave Ste 1100, Somerville, NJ 08876-2519 | 2019-08-28 |
| 1477018273 | Yvonne Elizabeth Brown | Nurse Practitioner | 59 Main St Ste 207, West Orange, NJ 07052-5333 | 2019-02-05 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1861977043 | Vaidehi Patel | Nurse Practitioner | 101 Lawrence Rd, Parsippany, NJ 07054-3146 | 2018-10-03 |
| 1982184727 | Julie Black | Nurse Practitioner | 8008 Route 130 Ste 305, Delran, NJ 08075-1869 | 2018-08-21 |
| 1730669953 | Stephanie Ellen Kintzing | Nurse Practitioner | 841 Franklin Ave Ste 5, Franklin Lakes, NJ 07417-1418 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
Please comment or provide details below to improve the information on MRS. DEBRA ROMA-DISTEFANO.
| 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.