Michael Distasio
Michael Distasio is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2024, 2 years ago. Practices with Rehabilitation Associates Inc, a 532-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 2
- Licensed in
- CT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Partly verified
Yale New Haven Health 789 Howard AveNew Haven, CT 06460
Phone: (203) 430-6379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 14094 (CT) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 154019 (CT) |
Record details
| NPI number | 1194580795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 14, 2024 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 5, 2024 |
| Mailing address | 69 Carriage Path S, Milford, CT 06460-7544 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Rehabilitation Associates Inc — 532 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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