Active NPI
Barbara Distefano, RN,BSN,CRNFA
- Registered Nurse First Assistant
- Flagtown, NJ
National Provider Identifier
1508010125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 26NO08920600
- Practice address
- 11 Peters Terr
Flagtown, NJ 08821-0628 - Phone
- (908) 369-8791
- NPI assigned
- Nov 10, 2008
- Last updated
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 26NO08920600 | NJ | Primary |
Addresses
Primary practice location
11 Peters Terr
Flagtown, NJ 08821-0628
Mailing address
PO Box 628
Flagtown, NJ 08821-0628
Phone (908) 369-8793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO08920600 | NJ | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1508010125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 628",
"city": "FLAGTOWN",
"state": "NJ",
"postal_code": "088210628",
"telephone_number": "908-369-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PETERS TERR",
"city": "FLAGTOWN",
"state": "NJ",
"postal_code": "088210628",
"telephone_number": "908-369-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISTEFANO",
"first_name": "BARBARA",
"credential": "RN,BSN,CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NJ",
"license": "26NO08920600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagtown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.