Active NPI
Procare Orthopedics, Inc
- Durable Medical Equipment & Medical Supplies
- Davie, FL
National Provider Identifier
1467027318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PROCARE ORTHOPEDICS, INC
- Practice address
- 10200 W State Road 84 Ste 220
Davie, FL 33324-4220 - Phone
- (954) 448-1640
- NPI assigned
- May 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Najmus S Faruqui, CPO, CPED
- Title
- Certified Orthotist/Prosthetist
- Phone
- (954) 448-1640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10200 W State Road 84 Ste 220
Davie, FL 33324-4220
Mailing address
10200 W State Road 84 Ste 220
Davie, FL 33324-4220
Phone (954) 448-1640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.procareorthopedics.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000676 | FL | DME Supplier - Certified Orth/Pros/Pedorthist | 7315340668 | Practice locations: Davie, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Miami Lakes, FL
- NPI 1508597253
7315340668
-
- Durable Medical Equipment & Medical Supplies
- Homestead, FL
- NPI 1992510648
7315340668
National Provider Directory
National Provider Directory- Tax ID family
- Procare Orthopedics Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Homestead, FL
- NPI 1003621749
-
- Durable Medical Equipment & Medical Supplies
- Miami Lakes, FL
- NPI 1508597253
-
- Durable Medical Equipment & Medical Supplies
- Homestead, FL
- NPI 1992510648
Locations
10200 W State Road 84
Ste 220
Davie, FL 33324
Phone (754) 213-1646
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621814400000",
"number": "1467027318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 W STATE ROAD 84 STE 220",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244220",
"telephone_number": "954-448-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 W STATE ROAD 84 STE 220",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244220",
"telephone_number": "954-448-1640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCARE ORTHOPEDICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A",
"authorized_official_last_name": "FARUQUI",
"authorized_official_first_name": "NAJMUS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CERTIFIED ORTHOTIST/PROSTHETIST",
"authorized_official_telephone_number": "954-448-1640",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO, CPED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.procareorthopedics.com",
"affiliation": "N",
"endpointDescription": "direct website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "10200 W State Road 84 Ste 220",
"city": "Davie",
"state": "FL",
"country_code": "US",
"postal_code": "333244220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.