MICHAEL WILLIAM DESTEFANO MICHAEL DESTEFANO NPI 1326369943

NPI Information

  • NPI: 1326369943
  • Provider Name: MICHAEL WILLIAM DESTEFANO, MICHAEL DESTEFANO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 YORK AVE
    NEW YORK, NY
    ZIP 10065
  • Phone: (646) 962-9649

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NPI Details

Michael William Destefano, MICHAEL DESTEFANO is a diagnostic radiology radiology in New York, NY with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael William Destefano, MICHAEL DESTEFANO NPI is 1326369943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1300 YORK AVE
NEW YORK, NY
ZIP 10065-805
Phone: (646) 962-9649

The NPI 1326369943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of surgical specimen (HCPCS:76098)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Screening mammography (HCPCS:77067)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Screening 3d breast mammography (HCPCS:77063)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Placement of locating device in breast using ultrasound guidance, first growth (HCPCS:19285)
  • Mri scan of both breasts (HCPCS:77049)

The enumeration date for this NPI number is 6/17/2010 and was last updated on 4/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology25MA10390300NEW JERSEYYes
22085R0202XRadiologyDiagnostic Radiology278012-1NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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