Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marcello Michael Distasio Jr., MD, PHD

Individual provider Anatomic Pathology Physician · NPI 1609295781

Dr. Marcello Michael Distasio Jr., MD, PHD is a Pathology in New Haven, Connecticut. Qualified in 2014, 12 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

310 Cedar St
New Haven, CT 06510-3218
Phone: (203) 785-3624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuropathology Physician (primary) Taxonomy 207ZN0500X · Licence 64362 (CT)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 64362 (CT)

Record details

NPI number1609295781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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