CHARLES W MISTRETTA DPM
NPI 1083624209
Podiatrist - Foot Surgery in Jamestown, NY

Active since August 09, 2006
23 IVY ST, JAMESTOWN, NY 14701(716) 664-9698 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles W Mistretta Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES W MISTRETTA DPM (NPI 1083624209) is an individual foot surgery provider in Jamestown, New York, licensed in New York (N4011) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083624209
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameCHARLES W MISTRETTACredential: DPM
Location Address23 IVY STJamestown, NY 14701-8212
Mailing Address23 Ivy StJamestown, NY 14701-8212 · (716) 664-9698 · Fax (716) 661-3851
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 12, 2011
NPI 1083624209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in NY · N4011
23 IVY ST, Jamestown, NY 14701

Other Identifiers 3

Medicare UPINT26688NY
Medicaid00957731NY
OtherAA1409NY · Medicare-ptan

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
23 IVY ST
JAMESTOWN, NY 14701
Podiatrist (Foot Surgery)
23 IVY ST
JAMESTOWN, NY 14701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mistretta's NPI number?

The NPI number for Charles Mistretta is 1083624209. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Charles Mistretta located?

Charles Mistretta practices at 23 Ivy St, Jamestown, NY 14701. The listed phone number is (716) 664-9698.

What is Charles Mistretta's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Charles Mistretta was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.