Healthcare Provider Details

I. General information

NPI: 1952018202
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 CLIFTON AVE STE 110
CLIFTON NJ
07013-3517
US

IV. Provider business mailing address

201 ROUTE 17 STE 604
RUTHERFORD NJ
07070-2574
US

V. Phone/Fax

Practice location:
  • Phone: 973-365-2208
  • Fax:
Mailing address:
  • Phone: 201-571-0214
  • Fax: 201-775-4169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY GEWIRTZ
Title or Position: MEDICAL OFFICER
Credential: DPM
Phone: 201-391-1113