PROACTIVE FOOT AND ANKLE (NPI# 1447720263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447720263 |
| Entity Type | Organization |
| Organization Name | PROACTIVE FOOT AND ANKLE |
| Practice Address |
64 Fairview Ave Westwood NJ 07675-2241 |
| Mailing Address |
74 Pascack Rd Ste 6 Park Ridge NJ 07656-1942 |
| Practice Telephone | 2016640225 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | JEFFREY GEWIRTZ (MANAGING PARTNER) |
| Authorized Official Telephone | 2013911113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952961120 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 241 Molnar Dr Ste 204, Elmwood Park, NJ 07407-3200 | 2019-06-19 |
| 1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
| 1639699325 | Proactive Foot and Ankle | Podiatrist | 74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 | 2017-06-22 |
| 1710477864 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2018-05-15 |
| 1154811669 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 | 2018-05-10 |
| 1588154017 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 322 Kinderkamack Rd, Westwood, NJ 07675-1635 | 2018-05-10 |
| 1396235834 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 297 Kinderkamack Rd, Oradell, NJ 07649-1538 | 2018-05-10 |
| Street Address |
64 FAIRVIEW AVE |
| City | WESTWOOD |
| State | NJ |
| Zip Code | 07675-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376634584 | Dino Ditrolio | Podiatrist | 64 Fairview Ave, Westwood, NJ 07675-2241 | 2006-09-27 |
| 1578740213 | Dino Ditrolio | Podiatrist | 64 Fairview Ave, Westwood, NJ 07675-2241 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| Find all providers in zip 07675 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
| 1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
| 1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
| 1346695335 | Raphael Yeung | Podiatrist | 252 Bridge St Bldg G2nd, Metuchen, NJ 08840-2294 | 2016-04-27 |
| 1770913493 | New Jersey Podiatric Physicians and Surgeons Group,llc | Podiatrist | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | 2013-11-15 |
| 1215205992 | Port Richmond Family Footcare, PC | Podiatrist | 1561 Route 38 Ste 4, Lumberton, NJ 08048-2939 | 2011-12-08 |
| 1033400593 | Nj Foot Docs PC | Podiatrist | 148 Route 31, 2nd Floor, Flemington, NJ 08822-4967 | 2011-05-02 |
| 1932413606 | Home Foot Care Services LLC | Podiatrist | 40 Stirling Rd Ste 207, Watchung, NJ 07069-5900 | 2010-08-04 |
| 1538480678 | Dr. David Plotkin P.a. | Podiatrist | 619 Morris Avenue, Springfield, NJ 07081-1511 | 2010-06-11 |
| 1114241387 | Kopylenko Dpm PC | Podiatrist | 4 Bridge Plaza Dr Ste 6, Manalapan, NJ 07726 | 2010-03-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROACTIVE FOOT AND ANKLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.