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CHARLES J MISTRETTA D.D.S.
NPI 1982789681
Dentist - General Practice in Staten Island, NY

Active since October 25, 2006PECOS Enrolled
1911 RICHMOND AVE, SUITE 215, STATEN ISLAND, NY 10314(718) 370-1911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles J Mistretta D.d.s. NPPES

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

CHARLES J MISTRETTA D.D.S. (NPI 1982789681) is an individual general practice provider in Staten Island, New York, licensed in New York (031340) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of New York University College Of Dentistry (1975).

NPPES Registry Identity

NPI1982789681
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES J MISTRETTACredential: D.D.S.
Location Address1911 RICHMOND AVE, SUITE 215Staten Island, NY 10314-3913
Mailing Address1911 Richmond Ave, Suite 215Staten Island, NY 10314-3913 · (718) 370-1911
Phone(718) 370-1911
Sole ProprietorYes
Medical School CMSNew York University College Of DentistryGraduated 1975
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982789681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 031340
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1911 RICHMOND AVE, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles J Mistretta D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597085944
PECOS Enrollment IDI20251120000966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. ANNA ELENA MANIACI MSED
Specialist
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 851-3300
MELINDA VANCLEAF MSED
Behavior Analyst
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 972-0880
PAULINE DELUCA
Case Manager/Care Coordinator
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 851-3300
HEALING QUEST PHYSICAL THERAPY, PC
Clinic/Center (Physical Therapy)
1911 RICHMOND AVE, SUITE 130
STATEN ISLAND, NY 10314
Richmond County (718) 982-6496
SANTINA PIPITONE
Developmental Therapist
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 851-3300
SLEEP AMERICA MEDICAL PC
Clinic/Center (Sleep Disorder Diagnostic)
1911 RICHMOND AVE, STE N2ND
STATEN ISLAND, NY 10314
Richmond County (718) 645-6434
BLUMA RICHT
Specialist
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 851-3300
LEE MCANA
Speech-Language Pathologist
1911 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 851-3300

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 1982789681. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Charles Mistretta located?

Charles Mistretta practices at 1911 Richmond Ave Suite 215, Staten Island, NY 10314. The listed phone number is (718) 370-1911.

What is Charles Mistretta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Mistretta enrolled in Medicare?

Yes. Charles Mistretta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Mistretta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.