ELIZABETH ANTHONY — NPI 1053730143 (Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery in RANDOLPH, NJ)

CMS-1500 Box 24J / 33a • NPI

1053730143

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

213ES0103X (CMS 48)

Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery

Box 32 Service Location & ZIP+4

121 CENTER GROVE RD STE 1, RANDOLPH, NJ, 07869-4453

✓ 9-Digit EDI 837 ZIP+4 (07869-4453)

Practice Phone & Referral Fax

(973) 366-1016

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053730143 (ELIZABETH ANTHONY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053730143` (NPI-1 Individual Practitioner)
Provider / Legal Name	ELIZABETH ANTHONY
Plain-English Specialty	Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: `213ES0103X` (Podiatrist, Foot & Ankle Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	121 CENTER GROVE RD STE 1, RANDOLPH, NJ, 07869-4453
Practice Telephone / Fax	Tel: (973) 366-1016
Administrative Mailing Address	121 CENTER GROVE RD STE 1, RANDOLPH, NJ, 07869-4453
Enumeration & Last Sync	Enumerated: 2014-04-16 \| CMS Record Updated: 2020-08-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

121 CENTER GROVE RD STE 1, RANDOLPH, NJ, 07869-4453

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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)

What Does Taxonomy Code 213ES0103X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist, Foot & Ankle Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELIZABETH ANTHONY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: NJ \| License: `25MD00333100` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ELIZABETH ANTHONY (NPI #1053730143)