DYNAMIC FOOT & ANKLE (NPI# 1861007940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861007940 |
| Entity Type | Organization |
| Organization Name | DYNAMIC FOOT & ANKLE |
| Practice Address |
776 E 3rd Ave Roselle NJ 07203-1698 |
| Mailing Address |
66 W Gilbert St Tinton Falls NJ 07701-4947 |
| Practice Telephone | 9082804314 |
| Mailing Telephone | 7329366457 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | KAITLIN DICKERT GONZALES (CEO) |
| Authorized Official Telephone | 6096187289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087748 | Dynamic Foot & Ankle | Podiatrist | 315 E Northfield Rd, Livingston, NJ 07039-4896 | 2020-09-15 |
| 1730700907 | Dynamic Foot & Ankle | Podiatrist | 121 Center Grove Rd, Randolph, NJ 07869-4453 | 2020-04-29 |
| Street Address |
776 E 3RD AVE |
| City | ROSELLE |
| State | NJ |
| Zip Code | 07203-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335309 | Peter Lenchur | Internal Medicine | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2005-12-05 |
| 1114201001 | Kapil Kundra | Dentist | 776 E 3rd Ave, Urban Smiles Dental Pa, Suite -ll2, Roselle, NJ 07203-1698 | 2011-10-10 |
| 1689997447 | Premier Urology Group LLC | Specialist | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2010-03-09 |
| 1003139031 | Roselle Podiatry Group, Pa | Podiatrist | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2010-03-04 |
| 1174717300 | Pawan Gundavaram | Internal Medicine | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2007-08-30 |
| 1992865117 | Peter Lenchur Md LLC | Internal Medicine | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2006-12-11 |
| 1497823645 | Ellioth Fishkin Md LLC | Internal Medicine | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2006-12-04 |
| 1134224157 | Phillip Davison | Urology | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2006-09-14 |
| 1255436283 | Urological Group of Union County Pa | Urology | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2006-09-14 |
| 1750349395 | Anise A Kachadourian | Internal Medicine | 776 E 3rd Ave, Roselle, NJ 07203-1698 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392460 | Agnieszka Malgorzata Hass | Nurse Practitioner | 776 E Thrid Avenue, Roselle, NJ 07203 | 2019-08-22 |
| 1386121812 | Community Access Unlimited Inc | Community/Behavioral Health | 513 E 1st Ave Fl 2, Roselle, NJ 07203 | 2018-07-27 |
| 1952820193 | Bold Community Care Services | Day Training, Developmentally Disabled Services | 224 Cherry Street, Roselle, NJ 07203 | 2017-09-19 |
| 1437672490 | Occupational Center of Union County, Inc | Day Training, Developmentally Disabled Services | 287 Cox Street, Roselle, NJ 07203 | 2017-07-21 |
| 1194259762 | Heart Matters, LLC | Counselor | 500 1-2 East First Avenue, Unit 1 Right, Roselle, NJ 07203 | 2017-04-20 |
| 1366827388 | Community Access Unlimited Inc | Community/Behavioral Health | 307-311 West 1st Ave, Roselle, NJ 07203 | 2015-07-21 |
| 1528440815 | Community Access Unlimited, Inc. | Community/Behavioral Health | 223-227 Cristiani St, Roselle, NJ 07203 | 2015-06-23 |
| 1437461159 | Totalifecare | Home Health | 82 Cedar Ln 176, Roselle, NJ 07203 | 2010-07-10 |
| 1811220213 | Rj Dental, LLC | Dentist | 121 - 125 Chestnut St., Ste. 201, Roselle, NJ 07203 | 2009-09-16 |
| 1740425610 | Stepcon Group LLC | Home Health | 238 Aurore Street, Roselle, NJ 07203 | 2008-12-08 |
| Find all providers in zip 07203 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699897264 | Philip Forni | Podiatrist | 825 N Roselle Rd, Roselle, IL 60172-4212 | 2007-04-04 |
| 1821165135 | David William O'brian | Podiatrist | 10 N Roselle Rd, Suite 300, Roselle, IL 60172-1592 | 2006-11-29 |
| 1538100854 | Lloyd Harris | Podiatrist | 2305 Wood Ave, Roselle, NJ 07203-2931 | 2006-06-09 |
| 1598985830 | Afp Podiatry Ltd | Podiatrist | 825 N Roselle Rd, Roselle, IL 60172-4212 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.