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

Individual provider Anesthesiology Physician · NPI 1679511000

Kelly Distefano, MD is an Anesthesiology in Elmwood Park, New Jersey. Qualified in 2001, 25 years ago. Practices with Resolute Perioperative Services LLC, an 18-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 River Dr
Elmwood Park, NJ 07407-1317
Phone: (201) 703-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1037 Route 46, Clifton, NJ 07013-2451 — (973) 928-5360
  • 1037 Route 46, Clifton, NJ 07013-2451 — (973) 928-5360
  • 562 Easton Ave, Somerset, NJ 08873-1900 — (732) 828-5900
  • 475 Prospect Ave, West Orange, NJ 07052-4197 — (973) 325-6716

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MA08068600 (NJ)

Record details

NPI number1679511000
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 24, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Resolute Perioperative Services Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elmwood Park