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NICHOLAS DISTEFANO
NPI 1669328027
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since March 09, 2026
1130 WASHINGTON ST, HOLLYWOOD, FL 33019(954) 699-6395 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Distefano NPPES

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

NICHOLAS DISTEFANO (NPI 1669328027) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1669328027
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS DISTEFANO
Location Address1130 WASHINGTON STHollywood, FL 33019-1926
Mailing Address1130 Washington StHollywood, FL 33019-1926
Phone(954) 699-6395
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1669328027 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.

1130 WASHINGTON ST, Hollywood, FL 33019
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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 Nicholas Distefano's NPI number?

The NPI number for Nicholas Distefano is 1669328027. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Nicholas Distefano located?

Nicholas Distefano practices at 1130 Washington St, Hollywood, FL 33019. The listed phone number is (954) 699-6395.

What is Nicholas Distefano'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 Nicholas Distefano was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.