DYNAMIC FOOT & ANKLE
NPI 1730700907
Podiatrist in Randolph, NJ

Active since April 29, 2020
121 CENTER GROVE RD, RANDOLPH, NJ 07869(973) 366-1016 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Jul 9, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Dynamic Foot & Ankle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC FOOT & ANKLE (NPI 1730700907) is a healthcare organization registered as a podiatrist in Randolph, New Jersey and active in the NPI registry since April 2020. The organization lists Kaitlin Dickert Gonzales, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730700907
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDYNAMIC FOOT & ANKLE
Location Address121 CENTER GROVE RDRandolph, NJ 07869-4453
Mailing Address121 Center Grove RdRandolph, NJ 07869-4453 · (973) 366-1016
Organization SubpartNo
Authorized OfficialKaitlin Dickert GonzalesCeo · (609) 618-7289
Enumeration DateApril 29, 2020
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1730700907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
121 CENTER GROVE RD, Randolph, NJ 07869

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Foot & Ankle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dynamic Foot & Ankle, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1053730143
121 CENTER GROVE RD STE 1
Randolph, NJ 07869
(973) 366-1016
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1821431909
121 CENTER GROVE RD
Randolph, NJ 07869
(973) 366-1016
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1912468067
100 MADISON AVE
Morristown, NJ 07960
(973) 971-5000
✔ PECOS✔ Accepts Medicare7.5 mi
Podiatry
NPI 1497140784
1500 PLEASANT VALLEY WAY STE 204
West Orange, NJ 07052
(973) 731-1266
✔ PECOS✔ Accepts Medicare16 mi
Podiatry
NPI 1952528507
500 GREENWICH ST
Belvidere, NJ 07823
(908) 475-8750
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Foot & Ankle's NPI number?

The NPI number for Dynamic Foot & Ankle is 1730700907. It was assigned to this organization in the NPPES registry on April 29, 2020.

Where is Dynamic Foot & Ankle located?

Dynamic Foot & Ankle is located at 121 Center Grove Rd, Randolph, NJ 07869. The listed phone number is (973) 366-1016.

What is Dynamic Foot & Ankle's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dynamic Foot & Ankle enrolled in Medicare?

Yes. Dynamic Foot & Ankle is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Foot & Ankle?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Dynamic Foot & Ankle. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Foot & Ankle was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.