NPIMap

Organization Active NPI

Curalta Medical LLC

  • Podiatrist
  • Park Ridge, NJ
National Provider Identifier
1801568605
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CURALTA MEDICAL LLC
Practice address
74 Pascack Rd Ste 6
Park Ridge, NJ 07656-1942
Phone
(201) 391-1113
NPI assigned
Sep 30, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Zander Liem
Title
Cfo
Phone
(781) 733-3879

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X NU
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Foot Surgery Podiatrist 213ES0131X NU

Addresses

Primary practice location

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

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 NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211210001446 NJ Part B Supplier - Clinic/Group Practice 0749670453 Receives reassigned benefits from 71 practitioners
Practice locations: Millville, NJ; Mullica Hill, NJ; Newark, NJ; Old Tappan, NJ; Oradell, NJ; Paramus, NJ; Park Ridge, NJ; Pennsauken, NJ…
O20220125001125 NJ DME Supplier - Physician - Podiatry 0749670453 Practice locations: Park Ridge, NJ
O20240612003928 NJ Part B Supplier - Independent Clinical Laboratory 0749670453 Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory

Locations

1033 Clifton Ave
Ste 110
Clifton, NJ 07013
Phone (973) 365-2208

67 Broadway
Ste 1
Elmwood Park, NJ 07407
Phone (201) 794-3223

76 W Jimmie Leeds Rd
Ste 203
Galloway, NJ 08205
Phone (609) 404-1300

215 Old Tappan Rd
Ste 2
Old Tappan, NJ 07675
Phone (201) 666-8811

400 State Rt 17
Ridgewood, NJ 07450
Phone (201) 445-2288

1 Plaza Dr
Unit 6
Toms River, NJ 08757
Phone (732) 349-3039

1230 Whitehorse Rd
Ste C
Trenton, NJ 08619
Phone (609) 585-0500

117 White Horse Rd E
Voorhees, NJ 08043
Phone (856) 435-4000

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

Practitioners & affiliated clinicians

Practitioners 71

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 71

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1801568605",
    "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": "74 PASCACK RD STE 6",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561942",
            "telephone_number": "201-391-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURALTA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-01-25",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "LIEM",
        "authorized_official_first_name": "ZANDER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-733-3879"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Park Ridge, NJ

Sources for this page

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