JOHN J DISTAZIO, D.P.M., P.C.
NPI 1316123052
Podiatrist - Foot & Ankle Surgery in Homestead, PA

Active since January 11, 2008
495 E WATERFRONT DRIVE, SUITE 230, HOMESTEAD, PA 15120(412) 461-1108(412) 461-5490 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John J Distazio, D.p.m., P.c. NPPES

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

JOHN J DISTAZIO, D.P.M., P.C. (NPI 1316123052) is a healthcare organization registered as a foot & ankle surgery in Homestead, Pennsylvania and active in the NPI registry since January 2008. The organization lists John J Distazio, Owner, as its authorized official.

NPPES Registry Identity

NPI1316123052
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJOHN J DISTAZIO, D.P.M., P.C.
Location Address495 E WATERFRONT DRIVE, SUITE 230Homestead, PA 15120-1151
Mailing Address495 E Waterfront Drive, Suite 230Homestead, PA 15120-1151 · (412) 461-1108 · Fax (412) 461-5490
Fax(412) 461-5490
Organization SubpartNo
Authorized OfficialJohn J DistazioOwner · (412) 461-1108
Enumeration DateJanuary 11, 2008
Last NPPES UpdateApril 2, 2008
NPI 1316123052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in PA · SC002842L
495 E WATERFRONT DRIVE, Homestead, PA 15120

Other Identifiers 7

Medicare UPINT29930PA
Other1316123052PA · Mc Group Npi Number
Other175132XXXPA · Mc Group Provider Number
Medicare PIN121936PA
Other175132PA · Medicare Legacy Number
Other1366414088PA · Individual Npi Number
Medicaid0010941370001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Anesthesiology
495 E WATERFRONT DRIVE
HOMESTEAD, PA 15120
Podiatrist (Foot & Ankle Surgery)
495 E WATERFRONT DRIVE, SUITE 230
HOMESTEAD, PA 15120
Nurse Anesthetist, Certified Registered
495 E WATERFRONT DRIVE
HOMESTEAD, PA 15120
Nurse Anesthetist, Certified Registered
495 E WATERFRONT DRIVE
HOMESTEAD, PA 15120
Nurse Anesthetist, Certified Registered
495 E WATERFRONT DRIVE
HOMESTEAD, PA 15120
Anesthesiology
495 E WATERFRONT DRIVE
HOMESTEAD, PA 15120

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 John J Distazio, D.P.M., P.C.'s NPI number?

The NPI number for John J Distazio, D.P.M., P.C. is 1316123052. It was assigned to this organization in the NPPES registry on January 11, 2008.

Where is John J Distazio, D.P.M., P.C. located?

John J Distazio, D.P.M., P.C. is located at 495 E Waterfront Drive Suite 230, Homestead, PA 15120. The listed phone number is (412) 461-1108.

What is John J Distazio, D.P.M., P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for John J Distazio, D.P.M., P.C. was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.