Healthcare Provider Details

I. General information

NPI: 1629738299
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ROUTE 17 SOURTH
RIDGEWOOD NJ
07045
US

IV. Provider business mailing address

74 PASCACK RD STE 6
PARK RIDGE NJ
07656-1942
US

V. Phone/Fax

Practice location:
  • Phone: 201-445-2288
  • Fax:
Mailing address:
  • Phone: 201-571-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY GEWIRTZ
Title or Position: PARTNER
Credential:
Phone: 201-391-1113