Joseph Distefano, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

8974 Issued in NJ

Legal business name

JOSEPH DISTEFANO, DMD, PC

Practice address

733 Bloomfield Ave.
Bloomfield, NJ 07003

Phone

(973) 748-8450

Fax

(973) 748-8934

NPI assigned

Oct 15, 2008

Last updated

Oct 15, 2008By 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 M. Distefano, D.M.D.NPI 1205087822

Title

Owner/President

Phone

(973) 748-8450

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph M. Distefano, D.M.D.

  • Dentist
  • Bloomfield, NJ
  • NPI 1205087822
  Authorized official Same address or phone

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1629220223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-748-8450",
            "fax_number": "973-748-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE.",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-748-8450",
            "fax_number": "973-748-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DISTEFANO, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-748-8450",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "8974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John V. Kelly MD, PC
• Sharonda S Johnson, LPC
• Jones Inspirations Counseling
• Suja K Jose, PT
• Deborah Josefson, MD
• Joseph Gardiner, DPM
• Joseph Licitra DC LLC
• Cantave Joseph
• Joanne Iris Joseph, MS ED
• Miriam Joseph

• Dentist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.