Healthcare Provider Details

I. General information

NPI: 1306620893
Provider Name (Legal Business Name): CURALTA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OLD HOOK RD STE 1-4
WESTWOOD NJ
07675-2720
US

IV. Provider business mailing address

201 STATE RT 17 STE 604
RUTHERFORD NJ
07070-2574
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-0225
  • Fax: 201-664-0561
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: CHIEF MEDICAL OFFICER
Credential: DPM
Phone: 201-391-1113