Provider Demographics
NPI:1710735071
Name:CURALTA MEDICAL LLC
Entity type:Organization
Organization Name:CURALTA MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DI BATTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-571-0214
Mailing Address - Street 1:365 W PASSAIC ST STE 530
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3012
Mailing Address - Country:US
Mailing Address - Phone:201-571-0214
Mailing Address - Fax:201-775-4169
Practice Address - Street 1:199 NEW RD STE 47
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2025
Practice Address - Country:US
Practice Address - Phone:609-904-0900
Practice Address - Fax:609-904-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0899976Medicaid