Organization Active NPI

Curalta Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Wyckoff, NJ
National Provider Identifier
1942983374
Registry record updated Jun 18, 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
350 Franklin Ave # 2
Wyckoff, NJ 07481-1909
Phone
(201) 891-4930
Fax
(201) 891-4715
NPI assigned
Aug 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Jeffrey Gewirtz, DPM
Title
Co-Owner/ Medical Director
Phone
(201) 391-1113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

350 Franklin Ave # 2
Wyckoff, NJ 07481-1909

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
O20240718001560 NJ DME Supplier - Physician - Podiatry 0749670453 Practice locations: Wyckoff, 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": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1942983374",
    "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",
            "fax_number": "201-775-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FRANKLIN AVE # 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811909",
            "telephone_number": "201-891-4930",
            "fax_number": "201-891-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURALTA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-391-1113",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "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 Wyckoff, NJ

Sources for this page

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