Proactive Foot And Ankle - Medicare Podiatrist in Park Ridge, NJ

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Proactive Foot And Ankle is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Park Ridge, New Jersey. Their current practice location is 74 Pascack Rd Ste 6, Park Ridge, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 391-1113.

Proactive Foot And Ankle is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Foot And Ankle is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639699325.

Contact Information

Proactive Foot And Ankle
74 Pascack Rd Ste 6,
Park Ridge, NJ 07656-1942
(201) 391-1113
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameProactive Foot And Ankle
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location74 Pascack Rd Ste 6, Park Ridge, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639699325
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719246214
  • Enrollment ID: O20180108002538

Medical Identifiers

Medical identifiers for Proactive Foot And Ankle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639699325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Foot And Ankle acts as a billing entity for following providers:
Provider NameVincent Francis Giacalone
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1285637025
PECOS PAC ID: 8123015765
Enrollment ID: I20040427000744
Provider NameCorinne J Gehegan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447219191
PECOS PAC ID: 2365427549
Enrollment ID: I20040622000546
Provider NameJohn J Caponigro
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659338564
PECOS PAC ID: 9638081938
Enrollment ID: I20040724000040
Provider NameSteven A Levy
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1407831126
PECOS PAC ID: 5092739953
Enrollment ID: I20060118000479
Provider NameKevin M Healey
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1265464515
PECOS PAC ID: 5991785834
Enrollment ID: I20060911000340
Provider NameJohn J Mcevoy
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619907524
PECOS PAC ID: 9133123029
Enrollment ID: I20060911000346
Provider NameDenise Bonnin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1801947973
PECOS PAC ID: 9234235318
Enrollment ID: I20070507000337
Provider NameJeffrey Miller
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093825861
PECOS PAC ID: 0648268102
Enrollment ID: I20071115000080
Provider NameLarry B Price
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1649267642
PECOS PAC ID: 1355353939
Enrollment ID: I20071204000573
Provider NameEdward R Nieuwenhuis
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1477573541
PECOS PAC ID: 2264594399
Enrollment ID: I20081231000336
Provider NameJacob M Reinkraut
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1033368022
PECOS PAC ID: 8325193568
Enrollment ID: I20090911000286
Provider NameSteven Deitch
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1033125174
PECOS PAC ID: 7012042062
Enrollment ID: I20100317000066
Provider NameRichard A Leichter
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871537746
PECOS PAC ID: 8325174972
Enrollment ID: I20100407000460
Provider NameDino Ditrolio
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376634584
PECOS PAC ID: 8527181650
Enrollment ID: I20101019001141
Provider NameJeffrey B Gewirtz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1396720769
PECOS PAC ID: 6002897576
Enrollment ID: I20101213000132
Provider NameElaine A Alicakos
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861493397
PECOS PAC ID: 0547466195
Enrollment ID: I20110607000497
Provider NameLeo Davidson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467743732
PECOS PAC ID: 4486831666
Enrollment ID: I20110616000270
Provider NameSpero Demoleas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295776755
PECOS PAC ID: 4688797129
Enrollment ID: I20110621000127
Provider NameDavid C De Vinck
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1205095155
PECOS PAC ID: 8628112141
Enrollment ID: I20110822000382
Provider NameLynda A Sheridan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164537767
PECOS PAC ID: 2860659364
Enrollment ID: I20120213000134
Provider NamePeter A Wishnie
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548255664
PECOS PAC ID: 0345303111
Enrollment ID: I20120223000151
Provider NameRobert Kosofsky
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134223258
PECOS PAC ID: 0941460299
Enrollment ID: I20120326000064
Provider NameDanny J Gomez
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1174880603
PECOS PAC ID: 9133350077
Enrollment ID: I20140318001557
Provider NameBradley Schaeffer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952701195
PECOS PAC ID: 7214251792
Enrollment ID: I20150112001555
Provider NameYitzchak Cohen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1881930683
PECOS PAC ID: 6800113952
Enrollment ID: I20150330000419
Provider NameDanielle Acampora
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1770840068
PECOS PAC ID: 9032410964
Enrollment ID: I20151218001781
Provider NameLee H Greenberg
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1356785075
PECOS PAC ID: 4688941552
Enrollment ID: I20170628000050
Provider NameMichelle T Suh
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780099044
PECOS PAC ID: 6608148317
Enrollment ID: I20170815003931
Provider NameSong Woo Seo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467869255
PECOS PAC ID: 0244597946
Enrollment ID: I20171205003375
Provider NameBrendan Kane
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1699146480
PECOS PAC ID: 8123382538
Enrollment ID: I20180511001781
Provider NameGarry Shtofmakher
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1962897363
PECOS PAC ID: 0749545762
Enrollment ID: I20180522002526
Provider NameChristopher Ofeldt
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1114413416
PECOS PAC ID: 7517215734
Enrollment ID: I20190813000059
Provider NameMadeleine Sophie Quinn
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295184471
PECOS PAC ID: 2365877271
Enrollment ID: I20200123001900
Provider NameCaroline A Fruge
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1437503547
PECOS PAC ID: 8921342528
Enrollment ID: I20201015001954
Provider NameAdeen Shakil Khokhar
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1215425020
PECOS PAC ID: 8820405442
Enrollment ID: I20210329000030
Provider NameNader Ghobrial
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1043717234
PECOS PAC ID: 9638570583
Enrollment ID: I20210629002207
Provider NameAdenike Oluwaseun Sonaike
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1114423324
PECOS PAC ID: 5294138798
Enrollment ID: I20210721001990
Provider NameGregory Joseph Nero
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053816215
PECOS PAC ID: 8729482047
Enrollment ID: I20210810000164
Provider NameKevin Joseph Warner
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659714103
PECOS PAC ID: 5597031377
Enrollment ID: I20220707003128
Provider NameMichael Blutfield
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1427624923
PECOS PAC ID: 0547643694
Enrollment ID: I20220823000380
Provider NameLakshmi Manisha Mummadisingu
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780147835
PECOS PAC ID: 6507221256
Enrollment ID: I20230502001220
Provider NameBenjamin Levi Kaplan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164042313
PECOS PAC ID: 4082073903
Enrollment ID: I20230710001943
Provider NameJanet Jeong Park
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912536095
PECOS PAC ID: 8022477843
Enrollment ID: I20230711002083

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proactive Foot And Ankle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Proactive Foot And Ankle
74 Pascack Rd Ste 6,
Park Ridge, NJ 07656-1942

Ph: (201) 391-1113		Proactive Foot And Ankle
74 Pascack Rd Ste 6,
Park Ridge, NJ 07656-1942

Ph: (201) 391-1113

Reviews and Comments


Podiatrist in Park Ridge, NJ

Dr. Lee H Greenberg, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 74 Pascack Rd, Park Ridge, NJ 07656
Phone: 201-391-1113    
Jeffrey Gewirtz, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656
Phone: 201-391-1113    
Michael D. Weinthal D.p.m.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 74 Pascack Rd, Suite 6, Park Ridge, NJ 07656
Phone: 201-391-1113    Fax: 201-391-1114
Boltrope Podiatry Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 74 Pascack Rd Ste 6, Park Ridge, NJ 07656
Phone: 201-391-1113    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.