DR. KENNETH L DISTEFANO SR. MD
NPI 1346324852
Plastic Surgery in Verona, NJ

Active since October 24, 2006
1 MOUNT PROSPECT AVE, VERONA, NJ 07044(973) 239-7777(973) 239-7082 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 6, 2023, Nov 5, 2021 (2 updates tracked since 2021).

  • 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
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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


The following 6 providers are registered at the same or a nearby location.

Plastic Surgery (Surgery of the Hand)
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Plastic Surgery
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Family Medicine
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Specialist
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Anesthesiology
1 MOUNT PROSPECT AVE, 2ND FLOOR
VERONA, NJ 07044
Nurse Practitioner (Family)
1 MOUNT PROSPECT AVE
VERONA, NJ 07044

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.