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

Michael William Destefano, MICHAELDESTEFANO

Individual provider Diagnostic Radiology Physician · NPI 1326369943

Michael William Destefano, MICHAELDESTEFANO is a Diagnostic Radiology in New York, New York. Graduated from Yale University School of Medicine in 2010, 16 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
16
Trained at
Yale University School of Medicine
Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1300 York Ave
New York, NY 10065-4805
Phone: (646) 962-9649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Cooper Plz, Camden, NJ 08103 — (856) 342-2383
  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-6500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA10390300 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 278012-1 (NY)

Record details

NPI number1326369943
Entity typeIndividual (Type 1)
GenderMale
Credentials MICHAELDESTEFANO
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESApril 12, 2023
Certification dateApril 10, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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