1. Home
  2. Directory
  3. New Jersey
  4. Verona
  5. Plastic Surgery
  6. NPI Profile

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: August 16, 2026.

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

About Dr. Kenneth L Distefano Sr. Md NPPES

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

DR. KENNETH L DISTEFANO SR. MD (NPI 1346324852) is an individual plastic surgery provider in Verona, New Jersey, licensed in New Jersey (25MA02454300) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1346324852
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. KENNETH L DISTEFANO SR.Credential: MD
Location Address1 MOUNT PROSPECT AVEVerona, NJ 07044-2707
Mailing Address1 Mount Prospect AveVerona, NJ 07044-2707 · (973) 239-7777 · Fax (973) 239-7082
Phone(973) 239-7777
Fax(973) 239-7082
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
✔ NPI 1346324852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NJ · 25MA02454300
Definition
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.
1 MOUNT PROSPECT AVE, Verona, NJ 07044
Open in Google Maps ↗

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.

MONICA ANN ADOPTANTE
Nurse Practitioner (Family)
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Essex County (973) 650-3204
DR. EDWARD J CHAMPEY M.D.
Specialist
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Essex County (201) 247-1747
DR. KENNETH LOUIS DISTEFANO MD
Family Medicine
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Essex County (973) 239-7777
ROBERT AGRESTI D.O.
Plastic Surgery
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Essex County (973) 239-5580
MINE HILL ANESTHESIA LLC
Anesthesiology
1 MOUNT PROSPECT AVE, 2ND FLOOR
VERONA, NJ 07044
Essex County (973) 433-7230
ROBERT J AGRESTI DO PA
Plastic Surgery (Surgery of the Hand)
1 MOUNT PROSPECT AVE
VERONA, NJ 07044
Essex County (973) 239-5580

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 Kenneth Distefano's NPI number?

The NPI number for Kenneth Distefano is 1346324852. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Kenneth Distefano located?

Kenneth Distefano practices at 1 Mount Prospect Ave, Verona, NJ 07044. The listed phone number is (973) 239-7777.

What is Kenneth Distefano's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Kenneth Distefano was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.