Individual provider Active NPI

Anthony Carmen Distano, D.C.

  • Chiropractor
  • Kearny, NJ
National Provider Identifier
1265574628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC006555500 Issued in NJ
Practice address
655 Kearny Ave
Kearny, NJ 07032-2942
Phone
(201) 991-0050
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC006555500 NJ Primary

Addresses

Primary practice location

655 Kearny Ave
Kearny, NJ 07032-2942

Mailing address

40 John St
Kearny, NJ 07032-1925
Phone (201) 991-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000019 NJ Practitioner - Chiropractic 3870685977 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maywood Physical Therapy LLCGroup PAC ID 9537472410, 8 clinicians
Paramus Physical Therapy and Rehabilitation LLCGroup PAC ID 3375911985, 6 clinicians
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

119 E Passaic St
Maywood, NJ 07607-1342
Phone (201) 880-7787

12 N State RT
17 Suite 118
Paramus, NJ 07652-2644
Phone (201) 535-4145

784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC006555500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LLC Chiropractor CurrentSince Feb 14, 2024 Accepting new patients
Paramus Physical Therapy and Rehabilitation LLC Chiropractor CurrentSince Dec 26, 2024 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Dec 26, 2024 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Dec 26, 2024 Accepting new patients
Maywood Physical Therapy LLC Chiropractor CurrentSince Dec 26, 2024 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Dec 26, 2024 Accepting new patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients
Town Chiropractor Paramus LLC Chiropractor PastSince Dec 26, 2024 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265574628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JOHN ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321925",
            "telephone_number": "201-991-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322942",
            "telephone_number": "201-991-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTANO",
        "first_name": "ANTHONY",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC006555500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.