| Dynamic Foot & Ankle | |
| 
					121 Center Grove Rd, Randolph, NJ 07869-4453  | |
| (973) 366-1016 | |
| Not Available | 
| Full Name | Dynamic Foot & Ankle | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 121 Center Grove Rd, Randolph, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730700907 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary | 
| Provider Name | Kaitlin Dpm Gonzales | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1821431909 PECOS PAC ID: 3072822311 Enrollment ID: I20151027002292  | 
| Provider Name | Elizabeth Anthony | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1053730143 PECOS PAC ID: 5698046787 Enrollment ID: I20170808002891  | 
| Provider Name | Priam J Sandilya | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1912468067 PECOS PAC ID: 4385026707 Enrollment ID: I20220802002066  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dynamic Foot & Ankle 121 Center Grove Rd, Randolph, NJ 07869-4453 Ph: (973) 366-1016  | Dynamic Foot & Ankle 121 Center Grove Rd, Randolph, NJ 07869-4453 Ph: (973) 366-1016  | 
Dr. Marc Jay Schlemovitz, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 121 Center Grove Rd, Randolph, NJ 07869 Phone: 973-366-1016 Fax: 973-366-5925  | |
Marc Schlemovitz Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 121 Center Grove Road, Suite 1, Randolph, NJ 07869 Phone: 973-366-1016 Fax: 973-366-2925  | |
Total Foot And Ankle L.l.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3 Butternut Rd, Randolph, NJ 07869 Phone: 631-834-8733  | |
Dr. Mark Bruce Spal, D.P.M.,R.PH. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 23 Springhill Road, Randolph, NJ 07869 Phone: 973-895-4857 Fax: 973-933-2030  | |
Kaitlin Dickert Gonzales, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 121 Center Grove Rd, Randolph, NJ 07869 Phone: 973-366-1016 Fax: 973-366-5925  |