MRS. DEBRA ROMA-DISTEFANO APN - NPI 1306810213 - Nurse Practitioner in West New York, NJ

Q: What is Debra Roma-distefano's NPI number?

The NPI number for Debra Roma-distefano is 1306810213. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Debra Roma-distefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

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About Mrs. Debra Roma-distefano Apn NPPES

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

MRS. DEBRA ROMA-DISTEFANO APN (NPI 1306810213) is an individual women's health provider in West New York, New Jersey, licensed in New Jersey (26NN07052100) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1306810213

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. DEBRA ROMA-DISTEFANOCredential: APN

Location Address5301 BROADWAYWest New York, NJ 07093-2622

Mailing Address23 Parker CtSouth Amboy, NJ 08879-2200 · (732) 727-5228

Phone(201) 866-9320

Sole ProprietorNo

Enumeration DateFebruary 15, 2006

Last NPPES UpdateJuly 13, 2007

✔ NPI 1306810213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NJ · 26NN07052100

5301 BROADWAY, West New York, NJ 07093

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Other Identifiers 3

Medicare ID-Type Unspecified032530NJ

Medicaid0028401NJ

Medicare UPIN591704

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.

NICOLE TERESA SANCHEZ APN

Nurse Practitioner (Family)