DR. ROBERT L DESTEFANO D.C.
NPI 1942345020
Chiropractor - Sports Physician in Lodi, NJ

Q: What is Robert Destefano's NPI number?

The NPI number for Robert Destefano is 1942345020. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Robert Destefano's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Robert Destefano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 20, 2007Accepts Medicare Assignment

361 GARIBALDI AVE, LODI, NJ 07644(973) 777-9040(973) 777-5262 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Robert L Destefano D.c. NPPES

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

DR. ROBERT L DESTEFANO D.C. (NPI 1942345020) is an individual sports physician in Lodi, New Jersey, licensed in New Jersey (38MC00336400) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1986).

NPPES Registry Identity

NPI1942345020

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. ROBERT L DESTEFANOCredential: D.C.

Location Address361 GARIBALDI AVELodi, NJ 07644-3709

Mailing Address361 Garibaldi AveLodi, NJ 07644-3709 · (973) 777-9040 · Fax (973) 777-5262

Phone(973) 777-9040

Fax(973) 777-5262

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1986

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942345020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Licenses✔ Licensed in NJ · 38MC00336400✔ Licensed in NY · X010312-1

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

361 GARIBALDI AVE, Lodi, NJ 07644

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Other Identifiers 2

Medicare UPINT45529NJ

Medicare ID-Type Unspecified456477NJ

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. Robert L Destefano D.c. 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 ID9133260284

PECOS Enrollment IDI20100112000024

Other Providers at the Same Location NPPES 5

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

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