NPIMap

Organization Active NPI

Curalta Medical LLC

  • Customized Equipment (DME)
  • Bloomfield, NJ
National Provider Identifier
1265123780
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CURALTA MEDICAL LLC
Practice address
350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852
Phone
(973) 429-1300
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Alexander Liem
Title
Cfo
Phone
(201) 571-0214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852

Mailing address

201 State RT 17 Ste 604
Rutherford, NJ 07070-2574
Phone (201) 571-0214

Other identifiers 1

IdentifierTypeStateIssuer
0899976MedicaidNJ

Other names 1

  • Boltrope Podiatry LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502000004 NJ DME Supplier - Physician - Podiatry 0749670453 Practice locations: Bloomfield, NJ

National Provider Directory

National Provider Directory
Tax ID family
Boltrope Podiatry LLC30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1265123780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE RT 17 STE 604",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702574",
            "telephone_number": "201-571-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 5",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "973-429-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURALTA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LIEM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-571-0214"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0899976",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boltrope Podiatry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Boltrope Podiatry LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.