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

MS. Nadine Mary Distefano, OTR/L

Individual provider Occupational Therapist · NPI 1407682966

MS. Nadine Mary Distefano, OTR/L is an Occupational Therapist in Maywood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

240 W Passaic St Ste 3
Maywood, NJ 07607-1264
Phone: (201) 250-8763
Fax: (551) 209-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01124300 (NJ)

Record details

NPI number1407682966
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

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