KELLY DISTEFANO M.D.
NPI 1679511000
Anesthesiology in Elmwood Park, NJ

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
619 RIVER DR, ELMWOOD PARK, NJ 07407(201) 703-2900 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Distefano M.d. NPPES

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

KELLY DISTEFANO M.D. (NPI 1679511000) is an individual anesthesiology provider in Elmwood Park, New Jersey, licensed in New Jersey (MA08068600) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1679511000
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKELLY DISTEFANOCredential: M.D.
Location Address619 RIVER DRElmwood Park, NJ 07407-1317
Mailing AddressPo Box 1849Lewiston, ME 04241-1849 · (207) 784-2554 · Fax (207) 777-1439
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 4, 2006
Last NPPES UpdateJuly 24, 2018
NPI 1679511000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in NJ · MA08068600
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

619 RIVER DR, Elmwood Park, NJ 07407

Secondary Practice Locations 3

Location 11037 Route 46, Suite G5Clifton, NJ 07013-2451 · Phone (973) 928-5360 · Fax (973) 928-5358
Location 2475 Prospect AveWest Orange, NJ 07052-4197 · Phone (973) 325-6716
Location 3562 Easton AveSomerset, NJ 08873-1900 · Phone (732) 828-5900

Other Identifiers 2

Medicaid0114219NJ
MedicaidPENDINGNJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Distefano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527063809
PECOS Enrollment IDI20060919000545
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
81 services79 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%1,239 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
619 RIVER DR, SUITE 201
ELMWOOD PARK, NJ 07407
Ophthalmology
619 RIVER DR, PHILLIPS EYE CENTER
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Specialist
619 RIVER DR
ELMWOOD PARK, NJ 07407
Optometrist
619 RIVER DR, PHILLIPS EYE CENTER
ELMWOOD PARK, NJ 07407
Ophthalmology
619 RIVER DR, SECOND FLOOR
ELMWOOD PARK, NJ 07407

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 Kelly Distefano's NPI number?

The NPI number for Kelly Distefano is 1679511000. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Kelly Distefano located?

Kelly Distefano practices at 619 River Dr, Elmwood Park, NJ 07407. The listed phone number is (201) 703-2900.

What is Kelly Distefano's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kelly Distefano enrolled in Medicare?

Yes. Kelly Distefano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Distefano was last updated on July 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.