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

Dr. Susan Distasio, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700010410

Dr. Susan Distasio, DO is a Physical Medicine and Rehabilitation in Bronx, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2008, 18 years ago. Practices with Multi-Specialty Pain Management PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3713 E Tremont Ave
Bronx, NY 10465-2054
Phone: (718) 792-4878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 271109 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700010410
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2009
Last updated in NPPESAugust 12, 2014
Mailing address8717 17th Ave, Brooklyn, NY 11214-4546

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2008 (18 years in practice)
Group practice Multi-Specialty Pain Management Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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