Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerome M Privitera DPM, Inc

Organization Primary Podiatric Medicine Podiatrist · NPI 1700969102

Jerome M Privitera DPM, Inc is a Primary Podiatric Medicine Podiatrist in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9485 Mentor Ave Ste 200
Mentor, OH 44060-8723
Phone: (440) 205-5878
Fax: (440) 205-5875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence OH002454 (OH)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence OH001535 (OH)

Record details

NPI number1700969102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Privitera — Owner · (440) 205-5878
NPI enumeratedOctober 23, 2006
Last updated in NPPESOctober 15, 2012
Mailing address9485 Mentor Ave, Suite 200, Mentor, OH 44060-8723