Healthcare Provider Details

I. General information

NPI: 1326401662
Provider Name (Legal Business Name): DARIA SERGEEVNA YUNINA-DISTEFANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARIA SERGEEVNA YUNINA MD

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 OVERLOOK RD STE 201
SUMMIT NJ
07901-3562
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-5040
  • Fax: 908-522-5041
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2026-05108
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number25MA11828100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number2026-05108
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: