Debra Roma-Distefano, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NN07052100 Issued in NJ

Practice address

5301 Broadway
West New York, NJ 07093-2622

Phone

(201) 866-9320

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1306810213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PARKER CT",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792200",
            "telephone_number": "732-727-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932622",
            "telephone_number": "201-866-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMA-DISTEFANO",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN07052100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector Rodriguez, OPTHALMIC DISPENSERS
• Maria T. Rodriguez, D.M.D.
• Reinerio Rodriguez, MD
• Rosita Rodriguez, DNP, APN
• James Rojas, LMT
• William Raul Romero, DDS
• Madeline L. Romeu, O.D.
• Hilda Rosa Roque-Dieguez, M.D.
• Felix Eduardo Roque, MD
• Beatriz Rosales Fuentes

• Women's Health Nurse Practitioner in West New York, NJ
• Providers in West New York, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.