Kenneth Louis Distefano, MD
Family Medicine Physician · Verona, NJ
Kenneth Louis Distefano, MD is a family medicine physician with a practice address in Verona, New Jersey, and NPI 1619146677, issued on Feb 25, 2008. Check the license (New Jersey 25MA08855100, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Kenneth Louis Distefano
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 25MA08855100 NJ
255630-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1 Mount Prospect Ave, Verona, NJ 07044
- Phone
- (973) 239-7777
- Enumerated
- Feb 25, 2008
- Record last updated
- Jan 5, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (973) 239-7082
- Entity
- Type 1 · individual
Also registered at 1 Mount Prospect Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Monica AdoptanteFamily Nurse Practitioner1205615895
- Robert Agresti, D.O.Plastic Surgery Physician1619155710
- Edward Champey, M.D.Specialist1467458836
- Kenneth Distefano, MDPlastic Surgery Physician1346324852
Verify Kenneth Louis Distefano in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA08855100Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $142.18
10 payments; by number, the most common kind was food and beverage; the largest payer was Revance Therapeutics, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
25 family medicine physician records list a practice address in Verona
They are 25 of the 331 NPPES records with a practice address in Verona, and 2,770 family medicine physician records in New Jersey.
All 25 in Verona → All 2,770 in New Jersey → Every provider in Verona →
Other family medicine physician records in New Jersey
- Aleksandr Abakulov, DOMorristown, NJ1083292528
- Siu-Han Abate, MDFreehold, NJ1871884007
- Frishta Abawi, DOMidland Park, NJ1821559675
- Mohammad Abdeljawad, MDVoorhees, NJ1487917365
- Hammad Abdelquader, MDFreehold, NJ1386096865
- Andrew Abdelsayed, M.D.Totowa, NJ1295485530
- Hend Abdelwahab, MDPrinceton, NJ1962631614
- Sami Abdulmassih, M.DWayne, NJ1760777270
- David Abend, D.O.North Brunswick, NJ1609806454
- Jesse Abend, DOJersey City, NJ1629574058
Common questions
What is Kenneth Louis Distefano, MD's NPI number?
Kenneth Louis Distefano, MD's National Provider Identifier (NPI) is 1619146677, issued on Feb 25, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Louis Distefano, MD located?
The NPPES record lists a practice address at 1 Mount Prospect Ave, Verona, NJ, 07044. Phone: (973) 239-7777. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Louis Distefano, MD's license?
NPPES lists New Jersey license number 25MA08855100, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.