Healthcare Provider Details

I. General information

NPI: 1760116784
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WILLS WAY
PISCATAWAY NJ
08854-3770
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 732-968-3833
  • 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: OWNER
Credential: DPM
Phone: 201-391-1113