Doctor profile · Federal record
Dr. Kelly Distefano, M.D.
Anesthesiology Physician (CMS: Anesthesiology) · Elmwood Park, NJ
- NPI 1679511000
- Accepts Medicare
- 25 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
619 River Dr
Elmwood Park, NJ 074071317
(201) 703-2900 - Additional location
-
1037 Route 46, Suite G5
Clifton, NJ 070132451
(973) 928-5360
fax (973) 928-5358 - Additional location
-
475 Prospect Ave
West Orange, NJ 070524197
(973) 325-6716 - Additional location
-
562 Easton Ave
Somerset, NJ 088731900
(732) 828-5900 - Mailing address
-
Po Box 1849
Lewiston, ME 042411849
Show 1 more location
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 24, 2018
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- New Jersey #MA08068600
- Medicaid (2)
- NJ #PENDING · NJ #0114219
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679511000. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
154
Distinct HCPCS
2
Medicare allowed
$19,036
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 134 | 125 | $119 | |
00140 |
Anesthesia for other procedure on eye | 20 | 20 | $152 |
In context: peer comparison
Among 1 peers in Elmwood Park Anesthesiology Physician, average services per provider: 77. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$767
Transactions
44
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Revance Therapeutics, INC. | 43 | $744.69 | |
| Abbvie INC. | 1 | $22.27 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Distefano's medical specialty?
Dr. Kelly Distefano practices Anesthesiology Physician in Elmwood Park, NJ.
Where does Dr. Kelly Distefano practice?
Dr. Kelly Distefano practices at 619 River Dr, Elmwood Park, NJ 074071317. Office phone: 2017032900.
What is Dr. Kelly Distefano's NPI?
Dr. Kelly Distefano's National Provider Identifier (NPI) is 1679511000, issued by NPPES.
Does Dr. Kelly Distefano accept Medicare assignment?
Yes. Dr. Kelly Distefano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Distefano commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142); Anesthesia for other procedure on eye (HCPCS 00140). Source: CMS Medicare Physician & Other Practitioners file.