JESSICA DISTEFANO (NPI# 1790126480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790126480 |
Entity Type | Individual |
Full Name | JESSICA DISTEFANO |
Credential | PA-C |
Practice Address |
11 Nevins St Suite 306 Brighton MA 02135-3514 |
Practice Telephone | 6177892045 |
Mailing Telephone | 6177892045 |
Enumeration Date | 2013-07-10 |
Last Update Date | 2016-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA5538 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11 NEVINS ST SUITE 306 |
City | BRIGHTON |
State | MA |
Zip Code | 02135-3514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396742359 | Persis Oneeka Williams | Urology | 11 Nevins St, Suite 303, Brighton, MA 02135-3514 | 2005-07-06 |
1750706727 | Angela Groysman | Nurse Practitioner | 11 Nevins St, Brighton, MA 02135-3514 | 2014-02-26 |
1013243138 | Teresa Ann Gore | Nurse Practitioner | 11 Nevins St, Suite 401, Brighton, MA 02135 | 2009-10-23 |
1083807523 | Claudia M Nader | Internal Medicine | 11 Nevins St, Room 202, Brighton, MA 02135-3514 | 2007-08-18 |
1225228356 | Aleksander Chudnovsky | Urology | 11 Nevins St, Suite 303, Brighton, MA 02135-3514 | 2007-07-25 |
1982727129 | Alfred J Phillips | Podiatrist | 11 Nevins St, Suite 201, Brighton, MA 02135-3514 | 2007-04-10 |
1063531648 | Pratt Ophthalmology Associates, Inc | Technician/Technologist | 11 Nevins St, St Elizabeth's Medical Bldg. Suite 205, Brighton, MA 02135-3514 | 2007-03-28 |
1386775542 | Diane M. English,m.d.,p.c. | Specialist | 11 Nevins St, Suite 403, Brighton, MA 02135-3514 | 2007-03-08 |
1497898316 | Alexander W.y. Pang | Urology | 11 Nevins St, Suite 303, Brighton, MA 02135-3514 | 2007-02-14 |
1629122700 | Sandra J Buss | Nurse Practitioner | 11 Nevins St, Suite 401, Brighton, MA 02135-3514 | 2007-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
Find all providers in zip 02135 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154953560 | Kim Nguyen | Physician Assistant | 11 Nevins St Ste 201, Brighton, MA 02135-3514 | 2020-02-04 |
1588212625 | Brittany Marie Fogarty | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2019-09-02 |
1578005286 | Westley A White | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-11 |
1861934549 | Stephanie J Laurer | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-10 |
1912271313 | Christina H Danna | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2012-03-02 |
1356500912 | Christopher Ray Stuart | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2008-06-08 |
1346283694 | Christina M Linkiewicz | Physician Assistant | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
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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.