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MRS. MARY ELLEN DISTASIO
NPI 1659563179
Student in an Organized Health Care Education/Training Program in Quincy, MA

Active since August 17, 2007
500 VICTORY RD, QUINCY, MA 02171(617) 847-1950 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Ellen Distasio NPPES

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

MRS. MARY ELLEN DISTASIO (NPI 1659563179) is an individual student in an organized health care education/training program in Quincy, Massachusetts and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1659563179
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. MARY ELLEN DISTASIO
Location Address500 VICTORY RDQuincy, MA 02171-3139
Mailing Address500 Victory RdQuincy, MA 02171-3139
Phone(617) 847-1950
Sole ProprietorNo
Enumeration DateAugust 17, 2007
Last NPPES UpdateAugust 1, 2016
✔ NPI 1659563179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 VICTORY RD, Quincy, MA 02171
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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.

SUZELINE MICHEL PAUL
Case Manager/Care Coordinator
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 847-1950
DILIMILA MIERXIATI
Social Worker
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 847-1950
MADELEINE BERNADETTE MANNING MA
Case Manager/Care Coordinator
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 774-1054
JORKILL ALMANZAR MA
Counselor (Mental Health)
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 847-1950
LYNNE COLPOYS
Counselor (Mental Health)
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 847-1950
MISS CHLOE SLAWSON
Counselor (Mental Health)
500 VICTORY RD, CREDENTIALING DEPT
QUINCY, MA 02171
Norfolk County (617) 847-1926
ABILMARILYS LORENZO
Psychologist
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 847-1926
JEAN ANNE WRIGHT PT
Physical Therapist (Pediatrics)
500 VICTORY RD
QUINCY, MA 02171
Norfolk County (617) 774-1040

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 Mary Distasio's NPI number?

The NPI number for Mary Distasio is 1659563179. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Mary Distasio located?

Mary Distasio practices at 500 Victory Rd, Quincy, MA 02171. The listed phone number is (617) 847-1950.

What is Mary Distasio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Distasio was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.