Dynamic Foot & Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DYNAMIC FOOT & ANKLE

Practice address

570 South Ave E Building G Ste D
Cranford, NJ 07016-3200

Phone

(908) 280-4314

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
  • West Caldwell, NJ
  • NPI 1669087748

  0547684011

  Same PAC ID
• Dynamic Foot & Ankle

  • Podiatrist
  • Randolph, NJ
  • NPI 1730700907

  0547684011

  Same PAC ID

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": "1861007940",
    "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": "570 SOUTH AVE E BUILDING G STE D",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163200",
            "telephone_number": "908-280-4314"
        }
    ],
    "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": []
}

• Patrick Joseph Donohue, LATC
• Alexandra Dougherty, M.A., BCBA
• Dr Casey Sciascia LLC
• Drug Fair Group, Inc.
• Chenelle Dudley, LCSW
• Eba Health
• Kaitlin Egan
• Bryan Andrew Ehnstrom, ATC
• Ololade F Ekwere, APN
• Elizabeth W Mulwa

• Podiatrist in Cranford, NJ
• Providers in Cranford, 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.