Proactive Foot and Ankle
NPI 1639699325 · Foot & Ankle Surgery Podiatrist · Park Ridge, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1639699325
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Gewirtz, Managing Member(201) 391-1113
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 466 Old Hook Rd Ste 24dEmerson, NJ 07630-1368Phone: (201) 261-0500
- 215 Old Tappan RdOld Tappan, NJ 07675-7000Phone: (201) 930-9090
- 297 Kinderkamack RdOradell, NJ 07649-1538Phone: (201) 261-7407
- 64 Fairview AveWestwood, NJ 07675-2241Phone: (201) 664-5115
- 322 Kinderkamack RdWestwood, NJ 07675-1635Phone: (201) 666-5115
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.