1679316251 NPI number — CURALTA FOOT AND ANKLE PENN PC

Table of content: (NPI 1679316251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679316251 NPI number — CURALTA FOOT AND ANKLE PENN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURALTA FOOT AND ANKLE PENN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679316251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 STATE RT 17 STE 604
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RUTHERFORD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07070-2905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-571-0214
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 W SWAMP RD STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18901-2465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-230-9707
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GEWIRTZ
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
201-391-1113

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104317515-0001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".