Healthcare Provider Details

I. General information

NPI: 1851097885
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 RIVER RD STE 201A
EDGEWATER NJ
07020-9800
US

IV. Provider business mailing address

74 PASCACK RD STE 11
PARK RIDGE NJ
07656-1942
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-1430
  • Fax:
Mailing address:
  • Phone: 887-777-1430
  • Fax:

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