Dynamic Foot & Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DYNAMIC FOOT & ANKLE

Practice address

602 Bloomfield Ave
West Caldwell, NJ 07006-7503

Phone

(973) 716-0666

Fax

(973) 366-5925

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Kaitlin Dickert Gonzales

Title

Ceo

Phone

(609) 618-7289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dynamic Foot & Ankle

  • Podiatrist
  • Randolph, NJ
  • NPI 1730700907

  0547684011

  Same PAC ID
• Dynamic Foot & Ankle

  • Podiatrist
  • Cranford, NJ
  • NPI 1861007940

  0547684011

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dynamic Foot & Ankle

  • Podiatrist
  • Randolph, NJ
  • NPI 1730700907

  O20210511002293

  Same enrollment

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1669087748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD",
            "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": "602 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067503",
            "telephone_number": "973-716-0666",
            "fax_number": "973-366-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "DICKERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-618-7289"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eastern Surgical Associates
• Easy Hard of Hearing

• Podiatrist in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.