DR. ROBERT L DESTEFANO (NPI# 1942345020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942345020 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L DESTEFANO |
| Credential | D.C. |
| Practice Address |
361 Garibaldi Ave Lodi NJ 07644-3709 |
| Practice Telephone | 9737779040 |
| Practice Fax Number | 9737775262 |
| Mailing Telephone | 9737779040 |
| Mailing Fax Number | 9737775262 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
X010312-1 | NY | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
38MC00336400 | NJ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174612576 | Robert Destefano | Family Medicine | 4201 Garth Road, Suite 202, Baytown, TX 77521-3155 | 2006-10-12 |
| 1285742700 | Robert K Destefano | Specialist/Technologist | 711 Hooper Ave, Toms River, NJ 08753-7716 | 2006-08-25 |
| 1659908549 | Robert Destefano | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-03-23 |
| 1285179481 | Robert C. Destefano | Nurse Anesthetist, Certified Registered | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2016-12-23 |
| Street Address |
361 GARIBALDI AVE |
| City | LODI |
| State | NJ |
| Zip Code | 07644-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746097 | Vijay Thamman | Internal Medicine | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2006-03-28 |
| 1659600583 | Justina Dong-yain Ngo | Chiropractor | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2009-12-24 |
| 1104044155 | Careccia Physical Therapy LLC | Physical Therapist | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2007-04-23 |
| 1699784637 | Lodi Internist Group Pa | Internal Medicine | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2006-08-07 |
| 1609837905 | Prem Thamman | Internal Medicine | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215437553 | Hmh Residential Care, Inc | Home Infusion | 80 Industrial Rd Ste G, Lodi, NJ 07644 | 2018-02-13 |
| 1710396544 | Oriana Szufa | Physical Therapy Assistant | 66 Trudy Dr, Lodi, NJ 07644 | 2014-08-06 |
| 1235413261 | Seon-jin Kim | Pharmacist | 20 Arnot Street, Lodi, NJ 07644 | 2011-10-10 |
| 1790823706 | Inserra Supermarkets Inc. | Pharmacy | 175 Main Street, Lodi, NJ 07644 | 2007-02-02 |
| 1942304050 | Kimberley Anne Careccia | Physical Therapist | 361 Garbaldi Ave, Lodi, NJ 07644 | 2006-09-11 |
| 1760595888 | Ronald A. Rigolosi | Internal Medicine | 4 Hunter Street, 2a, Lodi, NJ 07644 | 2006-08-15 |
| 1447265434 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 20 Arnot St, Lodi, NJ 07644 | 2006-07-29 |
| 1386144038 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 221 Main St, Lodi, NJ 07644 | 2018-02-20 |
| 1326287483 | Christophe S Oliveira | Chiropractor | 1 South Main Street, Suite 1, Lodi, NJ 07644 | 2009-02-13 |
| 1982744413 | Anthony J Campanella | Internal Medicine | 116 Terrace Ave, Lodi, NJ 07644 | 2007-02-07 |
| Find all providers in zip 07644 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854197 | Optimum Chiropractic | Chiropractor | 749 Hope Rd Ste A, Eatontown, NJ 07724-1433 | 2020-08-31 |
| 1497366397 | Alexander Liberman | Chiropractor | 1 Weathervane Way, Marlboro, NJ 07746-1692 | 2020-08-13 |
| 1063052322 | Rsm Sports and Rehab LLC | Chiropractor | 700 Bangs Ave Unit 214, Asbury Park, NJ 07712-6958 | 2020-01-14 |
| 1326603168 | Brett Kevin Hodshon | Chiropractor | 33 Elcock Ave, Boonton, NJ 07005-8806 | 2019-05-07 |
| 1225507643 | Bergen Spine and Sport, LLC | Chiropractor | 10 Wilsey Sq Ste 132, Ridgewood, NJ 07450-3729 | 2018-11-14 |
| 1902317225 | Marina Mangano | Chiropractor | 9505 3rd Ave, Stone Harbor, NJ 08247-1928 | 2017-10-12 |
| 1437672813 | Opm Flex LLC | Chiropractor | 633 Totowa Rd, Totowa, NJ 07512-1618 | 2017-07-18 |
| 1033661236 | Cmp Group,pc | Chiropractor | 540 Bordentown Road Suite 4900 4thfl, South Amboy, NJ 08879 | 2016-11-04 |
| 1912456831 | Premier Pain and Rehabilitation Center of Nj PC | Chiropractor | 7 Ridgedale Ave Ste 204, Ste 204, Cedar Knolls, NJ 07927-1120 | 2016-10-04 |
| 1578011235 | David Luke Dijkstra | Chiropractor | 10 Corey Ln, Mendham, NJ 07945-3309 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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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.