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Active NPI 1346324852 Individual Practitioner Male Practitioner

Dr. Kenneth L Distefano , MD

Plastic Surgery • Verona, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Distefano, MD is a registered healthcare professional specializing in Plastic Surgery in Verona, NJ. Practice services are available at 1 MOUNT PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Mount Prospect Ave

Verona, NJ 070442707

Telephone 9732397777
Fax 9732397082
Associated Practice Facility / Clinic
🏢 Robert J Agresti Do Pa Facility NPI 1962576025

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Verona, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Verona, NJ (209 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NJ 25MA02454300

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1619146677

Doctor of Medicine (M.D.)

NPI 1619155710

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated November 05, 2021

Recorded as KENNETH DISTEFANO, MD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 MOUNT PROSPECT AVE, VERONA, NJ 070442707 (Tel: 9732397777)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1 MOUNT PROSPECT AVE, VERONA, NJ 070442707 (Tel: 9732397777)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH DISTEFANO, M>D>

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #25MA02454300 in NJ)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346324852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: September 06, 2023
Sole Proprietor: Yes

Mailing Address

1 Mount Prospect Ave

Verona, NJ 070442707

Phone: 9732397777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.