Dynamic Foot & Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DYNAMIC FOOT & ANKLE

Practice address

121 Center Grove Rd
Randolph, NJ 07869-4453

Phone

(973) 366-1016

NPI assigned

Apr 29, 2020

Last updated

Jun 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlin Dickert GonzalesNPI 1821431909

Title

Ceo

Phone

(609) 618-7289

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

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
  • West Caldwell, NJ
  • NPI 1669087748

  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
  • West Caldwell, NJ
  • NPI 1669087748

  O20210511002293

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlin Dickert Gonzales, D.P.M

  • Podiatrist
  • Randolph, NJ
  • NPI 1821431909
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Anthony

  • Foot & Ankle Surgery Podiatrist
  • Randolph, NJ
  • NPI 1053730143
  Medicare reassignment Care Compare group NPD
• Merihan Botros

  • Foot & Ankle Surgery Podiatrist
  • West Orange, NJ
  • NPI 1497140784
  Medicare reassignment Care Compare group NPD
• Priam Jyoti Sandilya, DPM

  • Foot & Ankle Surgery Podiatrist
  • Morristown, NJ
  • NPI 1912468067
  Medicare reassignment Care Compare group NPD
• Gerald A Mauriello Jr Jr., DPM, MA, LAC

  • Foot & Ankle Surgery Podiatrist
  • Belvidere, NJ
  • NPI 1952528507
  Medicare reassignment Care Compare group
• Marc Jay Schlemovitz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Randolph, NJ
  • NPI 1285626697
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1730700907",
    "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": "121 CENTER GROVE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-366-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "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": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DS Medical
• Ana Isabel Du Bois
• Antonio Francesco Duardo, DC
• Blake Ducos
• Jacqueline Marie Dupree
• Dari Dyrness-Olsen, LPC
• Menashe East, LSW
• Grigoriy Efros, D.M.D., MS
• Leigh S Ende, M.D.
• Robert HK Eng, M.D.

• Podiatrist in Randolph, NJ
• Providers in Randolph, 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.