NPIMap

Organization Active NPI

Proactive Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Park Ridge, NJ
National Provider Identifier
1639699325
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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
Jun 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffrey Gewirtz, DPMNPI 1396720769
Title
Managing Member
Phone
(201) 391-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

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

Mailing address

74 Pascack Rd Ste 6
Park Ridge, NJ 07656-1942
Phone (201) 391-1113

Other practice location 1

466 Old Hook Rd Ste 24D
Emerson, NJ 07630-1368
Phone (201) 261-0500

Other practice location 2

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone (201) 930-9090

Other practice location 3

64 Fairview Ave
Westwood, NJ 07675-2241
Phone (201) 664-5115

Other practice location 4

322 Kinderkamack Rd
Westwood, NJ 07675-1635
Phone (201) 666-5115

Other practice location 5

297 Kinderkamack Rd
Oradell, NJ 07649-1538
Phone (201) 261-7407

National Provider Directory

National Provider Directory

Locations

64 Fairview Ave
Westwood, NJ 07675
Phone (201) 664-0225

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639699325",
    "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",
            "telephone_number": "201-391-1113"
        },
        {
            "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": [
        {
            "address_1": "466 Old Hook Rd Ste 24D",
            "address_purpose": "LOCATION",
            "city": "Emerson",
            "state": "NJ",
            "postal_code": "076301368",
            "country_code": "US",
            "telephone_number": "201-261-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Old Tappan Rd",
            "address_purpose": "LOCATION",
            "city": "Old Tappan",
            "state": "NJ",
            "postal_code": "076757000",
            "country_code": "US",
            "telephone_number": "201-930-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076752241",
            "country_code": "US",
            "telephone_number": "201-664-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076751635",
            "country_code": "US",
            "telephone_number": "201-666-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491538",
            "country_code": "US",
            "telephone_number": "201-261-7407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROACTIVE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-391-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.