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Daniel Distasi, D.D.S.
NPI 1104910942 · Periodontics · Westwood, NJ
Daniel Distasi, D.D.S. is a Periodontics provider in Westwood, NJ (NPI 1104910942).
Provider details
- NPI number
- 1104910942
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI01442602 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
700 Broadway Ste 64
Westwood, NJ 07675-1674
Phone: (201) 666-1300
Fax: (201) 666-2055
Approximate (ZIP-level) locationGet directions
Mailing address
200 W 57th St Ste 410
New York, NY 10019-3211
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Daniel Distasi's NPI number?
- Daniel Distasi's National Provider Identifier (NPI) is 1104910942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Distasi's specialty?
- Daniel Distasi is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Daniel Distasi located?
- Daniel Distasi's practice location on file with NPPES is 700 Broadway Ste 64, Westwood, NJ 07675-1674.
- What is Daniel Distasi's phone number?
- The practice phone number listed in the NPPES registry for Daniel Distasi is (201) 666-1300.
- Is Daniel Distasi's NPI active?
- Yes — Daniel Distasi's NPI (1104910942) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.