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

Guillermo Riestra

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1356087860

Guillermo Riestra is a Podiatry in Elizabeth, New Jersey. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with Elizabeth Foot and Ankle Associates PA, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

240 Williamson St
Elizabeth, NJ 07202-3674
Phone: (908) 994-5480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Union Ave Ste 603, Irvington, NJ 07111-3262 — (973) 362-0123

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00381700 (NJ)

Record details

NPI number1356087860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2022
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024
Mailing address240 Williamson St Ste 200, Elizabeth, NJ 07202-3671

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Elizabeth Foot And Ankle Associates Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elizabeth