Provider Demographics
NPI:1801898143
Name:CARISTO, ANTHONY M (DPM)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:CARISTO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 CHRISTIANA RD
Mailing Address - Street 2:STE 105
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2067
Mailing Address - Country:US
Mailing Address - Phone:302-623-4250
Mailing Address - Fax:302-623-4252
Practice Address - Street 1:774 CHRISTIANA RD
Practice Address - Street 2:STE 105
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2067
Practice Address - Country:US
Practice Address - Phone:302-623-4250
Practice Address - Fax:302-623-4252
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000137213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0662838000OtherAMERIHEALTH/KEYSTONE/PC
DE0001019117Medicaid
226197OtherUNISON
4211789OtherCIGNA
DEU81205OtherBCBS
283401OtherMAMSI/OPTIMUM CHOICE
105037OtherCOVENTRY
2700489OtherUNITED HEALTHCARE
7618370OtherAETNA
P00296735Medicare ID - Type UnspecifiedRAILROAD MEDICARE
0662838000OtherAMERIHEALTH/KEYSTONE/PC
DE0001019117Medicaid