Healthcare Provider Details

I. General information

NPI: 1912763657
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 MAIN ST
FARMINGDALE NJ
07727-1411
US

IV. Provider business mailing address

365 W PASSAIC ST STE 530
ROCHELLE PARK NJ
07662-3012
US

V. Phone/Fax

Practice location:
  • Phone: 732-938-7555
  • Fax: 732-938-2647
Mailing address:
  • Phone: 201-571-0214
  • Fax: 201-775-4169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

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