Organization
Anthony Distefano, Jr MD
Provider's NPPES record last updated: May 12, 2009
Overview
- Entity Type
- Organization
- NPI
- 1063646552
- Primary Specialty
- Family Medicine — Adult Medicine
- Practice Location
- Worcester, Massachusetts
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:41 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505X
Provider-Reported License Information
- Family Medicine (Massachusetts)
- 21567
Practice Locations
Practice Location
562 Lincoln St
Worcester, Massachusetts 01605-1916
Phone: (508) 852-6028
Record Information
- Enumeration Date
- May 12, 2009
- Provider's NPPES Record Last Updated
- May 12, 2009
- NPISignal NPPES Dataset
- August 2026
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