NICHOLAS DISTASIO
NPI 1134069388
Registered Nurse - Ambulatory Care in Somerville, MA

Active since March 30, 2026
40 HOLLAND ST, SOMERVILLE, MA 02144(339) 222-2235 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Distasio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS DISTASIO (NPI 1134069388) is an individual ambulatory care provider in Somerville, Massachusetts, licensed in Massachusetts (RN2359368) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1134069388
Entity TypeIndividual
Primary Taxonomy163WP2201X
Provider Legal NameNICHOLAS DISTASIO
Location Address40 HOLLAND STSomerville, MA 02144-2705
Mailing Address14 Wildwood AveArlington, MA 02476-6422
Sole ProprietorYes
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
NPI 1134069388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License Licensed in MA · RN2359368
40 HOLLAND ST, Somerville, MA 02144

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Physician Assistant (Medical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Physician Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Dietitian, Registered
40 HOLLAND ST, NUTRITION
SOMERVILLE, MA 02144
Nurse Practitioner (Family)
40 HOLLAND ST
SOMERVILLE, MA 02144
Technician/Technologist (Optician)
40 HOLLAND ST
SOMERVILLE, MA 02144
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Dentist (General Practice)
40 HOLLAND ST
SOMERVILLE, MA 02144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Distasio's NPI number?

The NPI number for Nicholas Distasio is 1134069388. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Nicholas Distasio located?

Nicholas Distasio practices at 40 Holland St, Somerville, MA 02144. The listed phone number is (339) 222-2235.

What is Nicholas Distasio's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Nicholas Distasio was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.