Roma-Distefano, Debra

Roma-Distefano, Debra is an individual health care provider with primary practice located at 5301 Broadway , West New York NJ 07093-2622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Roma-Distefano, Debra can be contacted via phone (201) 866-9320.

Contact Information

Primary practice address

5301 Broadway West New York NJ 07093-2622

Phone: (201) 866-9320

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health	363LW0102X	26NN07052100	New Jersey

Profile Details

NPI number	1306810213
LBN Legal business name	Roma-Distefano, Debra
Credentials	Advanced Practice Nurse (APN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 15th, 2006
Last updated	Jul 13th, 2007 - about 19 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1306810213	NPPES
New Jersey	MEDICAID	0028401

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