DR. KENNETH L DISTEFANO SR. MD
NPI 1346324852
Plastic Surgery in Verona, NJ
- Individual
- Male
- Plastic Surgery
About KENNETH DISTEFANO
This page provides the complete NPI Profile along with additional information for Kenneth Distefano, a provider established in Verona, New Jersey with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1346324852 assigned on October 2006. The practitioner's primary taxonomy code is 208200000X with license number 25MA02454300 (NJ). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1346324852 Verify this NPI
- Provider Name
- DR. KENNETH L DISTEFANO SR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 MOUNT PROSPECT AVE VERONA, NJ 07044
- Location Phone
- (973) 239-7777
- Location Fax
- (973) 239-7082
- Mailing Address
- 1 MOUNT PROSPECT AVE VERONA, NJ 07044
- Mailing Phone
- (973) 239-7777
- Mailing Fax
- (973) 239-7082
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-24-2006
- Last Update Date
- 09-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA02454300
- License State
- NJ
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346324852, enumerated as an "individual" on October 24, 2006.
The provider is located at 1 MOUNT PROSPECT AVE VERONA, NJ 07044 and the phone number is (973) 239-7777.
Plastic Surgery with taxonomy code 208200000X.