IndividualActive
Kenneth Distefano, MD
NPI 1346324852 · Plastic Surgery Physician · Verona, NJ
Kenneth Distefano, MD is a Plastic Surgery Physician provider in Verona, NJ (NPI 1346324852).
Provider details
- NPI number
- 1346324852
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA02454300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 Mount Prospect Ave
Verona, NJ 07044-2707
Phone: (973) 239-7777
Fax: (973) 239-7082
Street-level locationGet directions
Mailing address
1 Mount Prospect Ave
Verona, NJ 07044-2707
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2023-09-06
Frequently asked questions
- What is Kenneth Distefano's NPI number?
- Kenneth Distefano's National Provider Identifier (NPI) is 1346324852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Distefano's specialty?
- Kenneth Distefano is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Distefano located?
- Kenneth Distefano's practice location on file with NPPES is 1 Mount Prospect Ave, Verona, NJ 07044-2707.
- What is Kenneth Distefano's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Distefano is (973) 239-7777.
- Is Kenneth Distefano's NPI active?
- Yes — Kenneth Distefano's NPI (1346324852) is active in the NPPES registry as of the last update on 2023-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.