Jerome M Privitera Dpm, Inc.
Jerome M Privitera Dpm, Inc. is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Mentor, OH, holding Type 2 (organization) NPI 1700969102 since 2006. The authorized official on file is Jerome Privitera, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700969102 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jerome M Privitera Dpm, Inc. |
| Practice address | 9485 MENTOR AVE, SUITE 200, Mentor, OH, 44060 |
| Phone | 4402055878 |
| Fax | 4402055875 |
| Enumeration date | 2006-10-23 |
| Last updated in NPPES | 2012-10-15 |
Authorized official
| Name | Jerome Privitera |
|---|---|
| Title | Owner |
| Phone | 4402055878 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213EP1101X | Primary Podiatric Medicine Podiatrist | Secondary | OH001535 | OH |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | OH002454 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2310654 | Medicaid | OH | — |
| 2310636 | Medicaid | OH | — |
| 2310663 | Medicaid | OH | — |
Copy-ready billing details
Provider: Jerome M Privitera Dpm, Inc. NPI: 1700969102 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 9485 MENTOR AVE, SUITE 200, Mentor, OH, 44060
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639173628 | Jerome Privitera | Individual | Foot & Ankle Surgery Podiatrist | Mentor, OH |
| 1750386629 | Paul Eisenberg | Individual | Foot Surgery Podiatrist | Mentor, OH |
| 1952306961 | Ronald Posner | Individual | Ophthalmology Physician | Mentor, OH |
| 1417958729 | Mentor Surgery Center Ltd | Organization | Ambulatory Surgical Clinic/Center | Mentor, OH |
| 1477548634 | Howard Lee | Individual | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Mentor, OH |
| 1538121520 | James Macy | Individual | General Practice Dentistry | Mentor, OH |
| 1144283227 | Jacqueline Cerar | Individual | General Practice Dentistry | Mentor, OH |
| 1013951920 | Lake Hospital System Inc | Organization | Pediatrics Physician | Mentor, OH |
Verify this record
Cross-check NPI 1700969102 against the authoritative CMS record: view Jerome M Privitera Dpm, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jerome M Privitera Dpm, Inc.?
Who is the authorized official for Jerome M Privitera Dpm, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-10-15.