Elizabeth Anthony

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00333100 Issued in NJ

Practice address

121 Center Grove Rd Ste 1
Randolph, NJ 07869-4453

Phone

(973) 366-1016

NPI assigned

Apr 16, 2014

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Stickel Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Foot and AnkleGroup PAC ID 0547684011, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eanthony281239@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Foot & Ankle

  • Podiatrist
  • Randolph, NJ
  • NPI 1730700907

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Marc Schlemovitz DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Randolph, NJ
  • NPI 1396079216
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1053730143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 1",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-366-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 1",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-366-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Northfield Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394896",
            "country_code": "US",
            "telephone_number": "973-716-0666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Roselle",
            "state": "NJ",
            "postal_code": "072031698",
            "country_code": "US",
            "telephone_number": "908-280-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00333100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STICKEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald T Allegra, M.D.
• Allegro School, Inc.
• Rebecca Aminov, DDS
• Matthew Richard Amos, PT, DPT
• Danielle Anderson, B.C.B.A.
• Dannette Arboleda-Marin, RNFA
• Marcie Diane Arlinsky, D.C.
• Michael J Armento, DMD
• Susan Arnold, DMD
• Fazila Aslam, MD

• Foot & Ankle Surgery Podiatrist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.