MICHAEL CHARLES DISTEFANO (NPI# 1407883887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883887 |
| Entity Type | Individual |
| Full Name | MICHAEL CHARLES DISTEFANO |
| Credential | MD |
| Practice Address |
140 Route 17 North Suite 255 Paramus NJ 07652 |
| Practice Telephone | 2012615501 |
| Practice Fax Number | 2012613350 |
| Mailing Telephone | 2012615501 |
| Mailing Fax Number | 2012613350 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MA04126600 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732715 | Michael Joseph Distefano | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2005-09-30 |
| 1124647631 | Michael Distefano | Physical Therapist | 4711 Hylan Blvd, Staten Island, NY 10312-6311 | 2020-04-14 |
| 1558803551 | Michael Distefano | Specialist/Technologist | 9 Dog Ln, Suite 108, Storrs, CT 06268-2239 | 2016-11-08 |
| 1669552006 | Michael Distefano | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-17 |
| Street Address |
140 ROUTE 17 NORTH SUITE 255 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355137 | Jeffrey Martin Kolb | Physician Assistant | 140 Route 17 North, #255, Paramus, NJ 07652 | 2019-06-18 |
| 1396094934 | Hand & Wrist Surgery of Nj, LLC | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2012-08-29 |
| 1649414541 | Steven Ugras | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2009-04-23 |
| 1629215702 | Ridge Pain Medicine and Anesthesiology, LLC | Specialist | 140 Route 17 North, Suite 204, Paramus, NJ 07652 | 2009-01-12 |
| 1548399082 | Image Plastic Surgery LLC | Plastic Surgery | 140 Route 17 North, Suite 105, Paramus, NJ 07652 | 2007-03-02 |
| 1982773545 | Frederick Alexander | Surgery | 140 Route 17 North, Suite 321, Paramus, NJ 07652 | 2006-11-07 |
| 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 |
| 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 |
| 1477736270 | Michael Distefano, M.d., P.a. | Orthopaedic Surgery | 140 N Rte 17, Suite 255, Paramus, NJ 07652-2809 | 2007-12-14 |
| 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.