Anthony Distefano, Jr MD
NPI 1063646552 · Adult Medicine Physician · Worcester, MA
Anthony Distefano, Jr MD is a Adult Medicine Physician organization in Worcester, MA (NPI 1063646552).
Provider details
- NPI number
- 1063646552
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Distefano, Owner(508) 852-6028
- License
- 21567 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Frequently asked questions
- What is Anthony Distefano, Jr MD's NPI number?
- Anthony Distefano, Jr MD's National Provider Identifier (NPI) is 1063646552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anthony Distefano, Jr MD?
- Anthony Distefano, Jr MD is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Distefano, Jr MD located?
- Anthony Distefano, Jr MD's practice location on file with NPPES is 562 Lincoln St, Worcester, MA 01605-1916.
- What is Anthony Distefano, Jr MD's phone number?
- The practice phone number listed in the NPPES registry for Anthony Distefano, Jr MD is (508) 852-6028.
- Who is the authorized official for Anthony Distefano, Jr MD?
- The authorized official listed on Anthony Distefano, Jr MD's NPPES record is Anthony Distefano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anthony Distefano, Jr MD's NPI active?
- Yes — Anthony Distefano, Jr MD's NPI (1063646552) is active in the NPPES registry as of the last update on 2009-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.