Dr Michael Charles Mistretta, DDS, MD is a
Oral & Maxillofacial Surgery based in New York, New York. Dr Michael Charles Mistretta is licensed to practice in New York (license number 240428-1) and his current practice location is
200 Central Park S, Suite 105, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 245-3292.
NPI number for Dr Michael Charles Mistretta is 1780602920 and his current mailing address is 200 Central Park S, Suite 105, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780602920.
Healthcare Provider's Profile
Full Name | Dr Michael Charles Mistretta |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 200 Central Park S, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780602920
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 04/21/2025
Medical Identifiers
Medical identifiers for Dr Michael Charles Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780602920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 049087-1 (New York) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 240428-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Charles Mistretta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael Charles Mistretta, DDS, MD 200 Central Park S, Suite 105, New York, NY 10019-1436 Ph: (212) 245-3292 | Dr Michael Charles Mistretta, DDS, MD 200 Central Park S, Suite 105, New York, NY 10019-1436 Ph: (212) 245-3292 |
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