DR. SUSAN DISTASIO D.O.
NPI 1700010410
Physical Medicine & Rehabilitation - Sports Medicine in Bronx, NY
About Dr. Susan Distasio D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN DISTASIO D.O. (NPI 1700010410) is an individual sports medicine provider in Bronx, New York, licensed in New York (271109) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Susan Distasio D.o. 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.
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.
BRONX, NY 10465
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 Susan Distasio's NPI number?
The NPI number for Susan Distasio is 1700010410. It was assigned to this individual provider in the NPPES registry on May 8, 2009.
Where is Susan Distasio located?
Susan Distasio practices at 3713 E Tremont Ave, Bronx, NY 10465. The listed phone number is (718) 792-4878.
What is Susan Distasio's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Susan Distasio enrolled in Medicare?
Yes. Susan Distasio 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 Susan Distasio was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Susan Distasio, D.O. · NPI 1700010410
Sports Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since May 8, 2009.
## Identity
- **NPI:** 1700010410 (Entity type: Individual)
- **Enumerated:** May 8, 2009
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **State license:** 271109 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3713 E TREMONT AVE, Bronx, NY 10465-2054
- **Phone:** (718) 792-4878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2008
## Record status
- **NPPES last updated:** August 12, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1700010410) · Data from the CMS NPPES public registry.