Proactive Foot and Ankle

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROACTIVE FOOT AND ANKLE

Practice address

297 Kinderkamack Rd
Oradell, NJ 07649-1538

Phone

(201) 261-7407

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey GewirtzNPI 1396720769

Title

Managing Partner

Phone

(201) 391-1113

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Gewirtz, DPM

  • Podiatrist
  • Park Ridge, NJ
  • NPI 1396720769
  Authorized official Same address or phone

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": "1396235834",
    "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": "297 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491538",
            "telephone_number": "201-261-7407"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Philibosian
• Jucelia S Pitt, LCSW
• Prescription Dispensary of Oradell LLC (Prescription Dispensary of Oradell)
• Kristin Noel Preziosi
• Andrew M Prince, M.D.
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Douglas Joseph Pucci, DC
• Quality Medical and Surgical Supplies LLC.
• Regional Womens Health Group,LLC (The Fertility Institute of New Jersey and New York)

• Durable Medical Equipment & Medical Supplies in Oradell, NJ
• Providers in Oradell, 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.