PROACTIVE FOOT AND ANKLE
NPI 1639699325
Podiatrist - Foot & Ankle Surgery in Park Ridge, NJ

Active since June 22, 2017
74 PASCACK RD STE 6, PARK RIDGE, NJ 07656(201) 391-1113 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 8, 2018, Jun 22, 2017 (3 updates tracked since 2017).

About Proactive Foot And Ankle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE FOOT AND ANKLE (NPI 1639699325) is a healthcare organization registered as a foot & ankle surgery in Park Ridge, New Jersey and active in the NPI registry since June 2017. The organization maintains 5 additional practice locations and lists Jeffrey Gewirtz, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639699325
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePROACTIVE FOOT AND ANKLE
Location Address74 PASCACK RD STE 6Park Ridge, NJ 07656-1942
Mailing Address74 Pascack Rd Ste 6Park Ridge, NJ 07656-1942 · (201) 391-1113
Organization SubpartNo
Authorized OfficialJeffrey GewirtzManaging Member · (201) 391-1113
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1639699325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
74 PASCACK RD STE 6, Park Ridge, NJ 07656

Secondary Practice Locations 5

Location 1466 Old Hook Rd Ste 24DEmerson, NJ 07630-1368 · Phone (201) 261-0500
Location 2215 Old Tappan RdOld Tappan, NJ 07675-7000 · Phone (201) 930-9090
Location 364 Fairview AveWestwood, NJ 07675-2241 · Phone (201) 664-5115
Location 4297 Kinderkamack RdOradell, NJ 07649-1538 · Phone (201) 261-7407
Location 5322 Kinderkamack RdWestwood, NJ 07675-1635 · Phone (201) 666-5115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
74 PASCACK RD STE 6
PARK RIDGE, NJ 07656
Podiatrist
74 PASCACK RD STE 6
PARK RIDGE, NJ 07656
Podiatrist
74 PASCACK RD STE 6
PARK RIDGE, NJ 07656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Foot And Ankle's NPI number?

The NPI number for Proactive Foot And Ankle is 1639699325. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Proactive Foot And Ankle located?

Proactive Foot And Ankle is located at 74 Pascack Rd Ste 6, Park Ridge, NJ 07656. The listed phone number is (201) 391-1113.

What is Proactive Foot And Ankle's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Proactive Foot And Ankle was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.