CHARLES W MISTRETTA, DPM, PC
NPI 1811020571
Podiatrist - Foot Surgery in Jamestown, NY

Active since March 13, 2007
23 IVY ST, JAMESTOWN, NY 14701(716) 664-9698(716) 661-3851 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles W Mistretta, Dpm, Pc NPPES

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

CHARLES W MISTRETTA, DPM, PC (NPI 1811020571) is a healthcare organization registered as a foot surgery in Jamestown, New York and active in the NPI registry since March 2007. The organization lists Charles W Mistretta, President, as its authorized official.

NPPES Registry Identity

NPI1811020571
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameCHARLES W MISTRETTA, DPM, PC
Location Address23 IVY STJamestown, NY 14701-8212
Mailing Address23 Ivy StJamestown, NY 14701-8212 · (716) 664-9698 · Fax (716) 661-3851
Fax(716) 661-3851
Organization SubpartNo
Authorized OfficialCharles W MistrettaPresident · (716) 664-9698
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1811020571 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 · N004011-1
23 IVY ST, Jamestown, NY 14701

Other Identifiers 5

Other8905546NY · Independent Health
Other000500968001NY · Blue Cross Of Wny
Medicaid00957731NY
Medicaid02433021NY
Other00010256401NY · Univera Health Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Podiatrist (Foot Surgery)
23 IVY ST
JAMESTOWN, NY 14701
Internal Medicine
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 W Mistretta, Dpm, PC's NPI number?

The NPI number for Charles W Mistretta, Dpm, PC is 1811020571. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Charles W Mistretta, Dpm, PC located?

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

What is Charles W Mistretta, Dpm, PC'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 W Mistretta, Dpm, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.