Lorene Margaret Mistretta, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

564009-1 Issued in NY

Practice address

238 Chestnut St
Port Jefferson Station, NY 11776-3109

Phone

(631) 235-2470

NPI assigned

Jan 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201392000000",
    "number": "1487831962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763109",
            "telephone_number": "631-235-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763109",
            "telephone_number": "631-235-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "LORENE",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-27",
        "last_updated": "2008-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "564009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Millheiser, LCSW
• Melena Leigh Mills, RPH
• Mary Anne Miranda, NP-C
• Usman Mirza, MD, MBA
• Haim Misholy, M.D.
• Eric Ira Mitchnick, MD
• Jacquelyn Mitra
• Antoun Saba Mitromaras, M.D.
• Leanne Mary Molia, M.D.
• Lauren Monroe, MS, NCSP

• Pediatric Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.