NPIMap

Organization Active NPI

Curalta Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Tinton Falls, NJ
National Provider Identifier
1750154530
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CURALTA MEDICAL LLC
Practice address
55 N Gilbert St Ste 3104
Tinton Falls, NJ 07701-4958
Phone
(732) 219-7005
Fax
(732) 219-7665
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

55 N Gilbert St Ste 3104
Tinton Falls, NJ 07701-4958

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
O20241223001124 NJ DME Supplier - Physician - Podiatry 0749670453 Practice locations: Tinton Falls, 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": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1750154530",
    "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": "55 N GILBERT ST STE 3104",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014958",
            "telephone_number": "732-219-7005",
            "fax_number": "732-219-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURALTA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "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": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.