PROACTIVE FOOT AND ANKLE (NPI# 1639699325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639699325 |
| Entity Type | Organization |
| Organization Name | PROACTIVE FOOT AND ANKLE |
| Practice Address |
74 Pascack Rd Ste 6 Park Ridge NJ 07656-1942 |
| Practice Telephone | (201) 391-1113 |
| Mailing Telephone | 2013911113 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | DR. JEFFREY GEWIRTZ (MANAGING MEMBER) |
| Authorized Official Telephone | 2013911113 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 Old Tappan Rd, Old Tappan, NJ 076757000 | 2019309090 | |
| 297 Kinderkamack Rd, Oradell, NJ 076491538 | 2012617407 | |
| 322 Kinderkamack Rd, Westwood, NJ 076751635 | 2016665115 | |
| 466 Old Hook Rd Ste 24d, Emerson, NJ 076301368 | 2012610500 | |
| 64 Fairview Ave, Westwood, NJ 076752241 | 2016645115 |
| 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 |
| 1447720263 | Proactive Foot and Ankle | Podiatrist | 64 Fairview Ave, Westwood, NJ 07675-2241 | 2018-12-05 |
| 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 |
74 PASCACK RD STE 6 |
| City | PARK RIDGE |
| State | NJ |
| Zip Code | 07656-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154811669 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
| 1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
| 1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
| 1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
| 1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
| 1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
| 1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
| 1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
| 1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
| Find all providers in zip 07656 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194884452 | Mark E Neamand | Podiatrist | 621 Devon Ave, Park Ridge, IL 60068-4732 | 2006-12-06 |
| 1356785075 | Lee H Greenberg | Podiatrist | 74 Pascack Rd, Park Ridge, NJ 07656-1935 | 2013-04-24 |
| 1689844490 | Advanced Onsite Wound Care LLC | Podiatrist | 1600 W Dempster St, Suite 120, Park Ridge, IL 60068-1109 | 2008-03-07 |
| 1538341078 | Michael D. Weinthal D.p.m. | Podiatrist | 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656-1935 | 2007-11-27 |
| 1831370477 | Mark E Neamand Dpm PC | Podiatrist | 621 Devon Ave, Park Ridge, IL 60068-4732 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 07656 |
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.