Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. LEO JOSEPH DISTEFANO III MD
NPI 1760453724
Pediatrics - Adolescent Medicine in West Hartford, CT

Q: What is Leo Distefano's NPI number?

The NPI number for Leo Distefano is 1760453724. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Leo Distefano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Leo Distefano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since January 30, 2006

970 FARMINGTON AVENUE, SUITE 201, WEST HARTFORD, CT 06107(860) 561-4300(860) 561-1635 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Leo Joseph Distefano Iii Md NPPES

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

MR. LEO JOSEPH DISTEFANO III MD (NPI 1760453724) is an individual adolescent medicine provider in West Hartford, Connecticut, licensed in Connecticut (033656) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1760453724

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameMR. LEO JOSEPH DISTEFANO IIICredential: MD

Location Address970 FARMINGTON AVENUE, SUITE 201West Hartford, CT 06107

Mailing Address970 Farmington Avenue, Suite 201West Hartford, CT 06107 · (860) 561-4300 · Fax (860) 561-1635

Phone(860) 561-4300

Fax(860) 561-1635

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1760453724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in CT · 033656

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

970 FARMINGTON AVENUE, West Hartford, CT 06107

Open in Google Maps ↗

Other Identifiers 3

Other735010CT · Connecticare

Medicaid00133656100CT

Other01003365CT01CT · Anthem Bcbs

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 Leo Distefano's NPI number?

The NPI number for Leo Distefano is 1760453724. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Leo Distefano located?

Leo Distefano practices at 970 Farmington Avenue Suite 201, West Hartford, CT 06107. The listed phone number is (860) 561-4300.

What is Leo Distefano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Leo Distefano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.