Dynamic Foot & Ankle
A Medicare group practice based in Cranford, NJ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0547684011), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0547684011
- Also listed as
- Dynamic Foot and Ankle
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 4
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200717000585 | NJ | Part B Supplier - Clinic/Group Practice | 1730700907 |
| O20201214001900 | NJ | DME Supplier - Physician - Podiatry | 1861007940 |
| O20201222000648 | NJ | DME Supplier - Physician - Podiatry | 1730700907 |
| O20210511002293 | NJ | DME Supplier - Physician - Podiatry | 1669087748 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Dynamic Foot & Ankle
- Podiatrist
- West Caldwell, NJ
- NPI 1669087748
-
Dynamic Foot & Ankle
- Podiatrist
- Randolph, NJ
- NPI 1730700907
-
Dynamic Foot & Ankle
- Podiatrist
- Cranford, NJ
- NPI 1861007940
Practice locations
- West Caldwell, NJ2
- Randolph, NJ2
- Cranford, NJ2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Elizabeth Anthony
- Foot & Ankle Surgery Podiatrist
- Randolph, NJ
- NPI 1053730143
-
Merihan Botros
- Foot & Ankle Surgery Podiatrist
- West Orange, NJ
- NPI 1497140784
-
Kaitlin Dickert Gonzales, D.P.M
- Podiatrist
- Randolph, NJ
- NPI 1821431909
-
Gerald A Mauriello Jr Jr., DPM, MA, LAC
- Foot & Ankle Surgery Podiatrist
- Belvidere, NJ
- NPI 1952528507
-
Priam Jyoti Sandilya, DPM
- Foot & Ankle Surgery Podiatrist
- Morristown, NJ
- NPI 1912468067
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.