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

John Distefano

Individual provider Physician Assistant · NPI 1770263063

John Distefano is a Physician Assistant in Newark, Delaware. Qualified in 2024, 2 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
2
Licensed in
DE, MD
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone: (302) 623-0188
Fax: (302) 733-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C5-0012159 (DE)
Physician Assistant Taxonomy 363A00000X · Licence C0009658 (MD)

Record details

NPI number1770263063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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