Joseph L Destefano MD LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MA25990 Issued in NJ

Legal business name

JOSEPH L DESTEFANO MD LLC

Practice address

53 W White Horse Pike
Galloway, NJ 08205-9450

Phone

(609) 652-2516

Fax

(609) 652-2519

NPI assigned

Jan 18, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph L Destefano, MD

Title

Ownder

Phone

(609) 652-2516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1427101088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059450",
            "telephone_number": "609-652-2516",
            "fax_number": "609-652-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059450",
            "telephone_number": "609-652-2516",
            "fax_number": "609-652-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L DESTEFANO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "609-652-2516",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "MA25990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Leeds Senior Care, LLC (Spring Village at Galloway)
• Jimmie Leeds Senior Care, LLC (Spring Village at Galloway)
• Kiarrah Takiyah Johnson, ATC
• Naomie Johnson
• Brianna Rose Jones, M.S., CCC-SLP
• JRC Counseling LLC
• Jspltc, LLC (Jersey Shore Pharmacy)
• Julia Kahn
• Boris Kalika, D.M.D.
• Kalptirth11 LLC (Global Health Clinic)

• Gynecology Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.