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

Individual provider Orthopaedic Surgery Physician · NPI 1407883887

Michael Charles Distefano, MD is an Orthopaedic Surgery Physician in Paramus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

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

140 Route 17 N Ste 255
Paramus, NJ 07652
Phone: (201) 261-5501
Fax: (201) 261-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MA04126600 (NJ)

Record details

NPI number1407883887
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address140 Route 17 North, Suite 255, Paramus, NJ 07652

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