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Deactivated NPI 1124373873 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony Joseph Mistretta , MD

Pediatrics • Douglaston, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Mistretta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2012
NPI Deactivation Date June 07, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Mistretta, MD was a registered Pediatrics practicing in Douglaston, NY. Throughout an active medical career spanning 11 years, Dr. Mistretta provided care at the practice location at 4518 245TH ST until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

4518 245th St

Douglaston, NY 113621135

Telephone 2122294553

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Douglaston, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Douglaston, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 080496

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

NPI Profile Active February 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2013

Registered at 4518 245TH ST, DOUGLASTON, NY 113621135 (Tel: 2122294553)

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Updated Business Mailing Address February 20, 2013

Registered at 4518 245TH ST, DOUGLASTON, NY 113621135 (Tel: 2122294553)

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Provider Name / Credentials Updated February 20, 2013

Recorded as ANTHONY MISTRETTA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2013

Pediatrics (License #080496 in NY)

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Initial NPI Registration & Enumeration July 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124373873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2012
Last Update: February 20, 2013
Deactivation Date: June 07, 2023

Mailing Address

4518 245th St

Douglaston, NY 113621135

Phone: 2122294553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.