Proactive Foot and Ankle

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROACTIVE FOOT AND ANKLE

Practice address

74 Pascack Rd Ste 6
Park Ridge, NJ 07656-1942

Phone

(201) 391-1113

NPI assigned

May 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Gewirtz

Title

Managing Partner

Phone

(201) 391-1113

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1154811669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PASCACK RD STE 6",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PASCACK RD STE 6",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561942",
            "telephone_number": "201-391-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-391-1113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascack Mental Health Center
• Kim Marie Pauline, MS
• Kristen Lynn Permenter, OTR/L
• Laurie Sue Pileggi, RPH
• Diana Amelia Pree, RN, IBCLC
• Proactive Foot and Ankle
• Josephine P Puncar, MA, CCC-SLP
• Quest for Excellence International, LLC
• Madeleine Sophie Quinn, D.P.M.
• Megan Elizabeth Rahaman, LSW

• Durable Medical Equipment & Medical Supplies in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.