Organization Active NPI

Procare Orthopedics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Davie, FL
National Provider Identifier
1467027318
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 24, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL www.procareorthopedics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Procare Orthopedics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.