Charles W Mistretta, DPM, PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004011-1 Issued in NY

Legal business name

CHARLES W MISTRETTA, DPM, PC

Practice address

23 Ivy St
Jamestown, NY 14701-8212

Phone

(716) 664-9698

Fax

(716) 661-3851

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles W Mistretta, DPMNPI 1083624209

Title

President

Phone

(716) 664-9698

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles W Mistretta, DPM

  • Foot Surgery Podiatrist
  • Jamestown, NY
  • NPI 1083624209
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811020571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 IVY ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018212",
            "telephone_number": "716-664-9698",
            "fax_number": "716-661-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 IVY ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018212",
            "telephone_number": "716-664-9698",
            "fax_number": "716-661-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W MISTRETTA, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISTRETTA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-664-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004011-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Centi-Grice
• Jamie Elizabeth Cercone, RN
• Matthew S Chang, MD
• Megan Chappel, OTR/L
• Charles E Sinatra DDS
• Laurie A Charles, LCSW
• Jeffrey Chase, RN
• Kimbra A Chase, LMSW
• Monir Chaudhry, M.D.
• Chautauqua Adult Day Care Centers, Inc

• Foot Surgery Podiatrist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.