Dr Kenneth Louis Distefano, MD - Family Medicine in Verona, NJ

Dr Kenneth Louis Distefano, MD is a Family Medicine physician based in Verona, New Jersey. Dr Kenneth Louis Distefano is licensed to practice in New Jersey (license number 25MA08855100) and his current practice location is 1 Mount Prospect Ave, Verona, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 239-7777.

NPI number for Dr Kenneth Louis Distefano is 1619146677 and his current mailing address is 1 Mount Prospect Ave, Verona, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619146677.

Contact Information

Dr Kenneth Louis Distefano, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707
(973) 239-7777
(973) 239-7082



Physician's Profile

Full NameDr Kenneth Louis Distefano
GenderMale
SpecialityFamily Medicine
Location1 Mount Prospect Ave, Verona, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619146677
  • Provider Enumeration Date: 02/25/2008
  • Last Update Date: 01/05/2011

Medical Identifiers

Medical identifiers for Dr Kenneth Louis Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619146677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA08855100 (New Jersey)Primary
207Q00000XFamily Medicine 255630-1 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Louis Distefano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Louis Distefano, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707

Ph: (973) 239-7777
Dr Kenneth Louis Distefano, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707

Ph: (973) 239-7777

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Family Medicine Doctors in Verona, NJ

Everett Schlam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 799 Bloomfield Ave, Verona, NJ 07044
Phone: 973-971-5595    
Dr. Kennedy Palwasha Fazli Daftani, M.D, MHSA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 973-239-8650
Simone Alicia Douge, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 833-495-1920
Dr. Mandy Lauren Sacher, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    Fax: 822-495-1921
Dr. Kevin James Berg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 799 Bloomfield Ave, Suite 201, Verona, NJ 07044
Phone: 973-746-7050    Fax: 973-259-3569
Margaret Anne Kelly, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044
Phone: 973-239-2600    
Dr. Robert T Gorman, M..D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 271 Grove Ave, Suite A, Verona, NJ 07044
Phone: 973-239-8805    Fax: 973-857-3503

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