Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Anthony

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053730143

Elizabeth Anthony is a Podiatry in Randolph, New Jersey. Graduated from New York College of Podiatric Medicine in 2014, 12 years ago. Practices with Dynamic Foot and Ankle, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Trained at
New York College of Podiatric Medicine
Licensed in
NJ
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

121 Center Grove Rd Ste 1
Randolph, NJ 07869-4453
Phone: (973) 366-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 315 E Northfield Rd, Livingston, NJ 07039-4896 — (973) 716-0666
  • 776 E 3rd Ave, Roselle, NJ 07203-1698 — (908) 280-4314

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00333100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053730143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESAugust 31, 2020
Certification dateAugust 25, 2020
Mailing address121 Center Grove Rd Ste 1, Randolph, NJ 07869-4453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Dynamic Foot And Ankle — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Randolph