Proactive Foot and Ankle

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

PROACTIVE FOOT AND ANKLE

Practice address

466 Old Hook Rd Ste 24D
Emerson, NJ 07630-1368

Phone

(201) 261-0500

NPI assigned

Sep 9, 2018

Last updated

Sep 9, 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 Gewirtz, DPMNPI 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": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536451200000",
    "number": "1962985770",
    "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": "466 OLD HOOK RD STE 24D",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-261-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "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",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Petrocelli, PHARMD
• Dayna Phillips, M.D.
• Robert H Pittman, MD
• Premier Medical Alliance LLC
• Brittany Anne Prisco, MS CCC-SLP
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Professional Sports Medicine Associates
• Pt2U
• Pulmonary & Medical Associates of Pascack Valley

• Foot Surgery Podiatrist in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.