Organization Active NPI

Pistone Podiatric Foot Center PC

  • Foot & Ankle Surgery Podiatrist
  • Haverhill, MA
National Provider Identifier
1326378241
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PISTONE PODIATRIC FOOT CENTER PC
Practice address
62 Brown St
Haverhill, MA 01830-6778
Phone
(978) 556-9750
Fax
(978) 521-8381
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kristyn Pistone, D.P.M.NPI 1689612962
Title
President
Phone
(978) 556-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

62 Brown St
Haverhill, MA 01830-6778

Mailing address

PO Box 5326
Bradford, MA 01835-0326
Phone (978) 556-9750

Other identifiers 1

IdentifierTypeStateIssuer
6041360001OtherMADME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160108000571 MA Part B Supplier - Clinic/Group Practice 8123320058 Receives reassigned benefits from 1 practitioner
Practice locations: Bradford, MA

National Provider Directory

National Provider Directory

Locations

471 S Main St
Haverhill, MA 01835
Phone (978) 556-9750

471 S Main St
Apt 1
Haverhill, MA 01835
Phone (978) 556-9750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1326378241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5326",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018350326",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "978-556-9750",
            "fax_number": "978-521-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISTONE PODIATRIC FOOT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "PISTONE",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-556-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6041360001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.