Organization Active NPI

Procare Orthopedics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1508597253
Registry record updated Jun 23, 2022
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
5190 NW 167TH St Ste 309
Miami Lakes, FL 33014-6338
Phone
(754) 213-1646
Fax
(754) 264-0099
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Najmus Saquib Faruqui, CPO/CPED
Title
Practitioner
Phone
(954) 448-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 309
Miami Lakes, FL 33014-6338

Mailing address

5190 NW 167TH St Ste 309
Miami Lakes, FL 33014-6338
Phone (754) 213-1646

Other practice location 1

10200 W State Road 84 Ste 220
Davie, FL 33324-4220
Phone (754) 213-1646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@procareorthopedics.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021000645 FL DME Supplier - Certified Orth/Pros/Pedorthist 7315340668 Practice locations: Miami Lakes, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Procare Orthopedics, Inc5190 NW 167TH St, Miami Lakes, FL 33014-6329(754) 213-1646 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jul 1, 2021

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1508597253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 309",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "754-213-1646",
            "fax_number": "754-264-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 309",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "754-213-1646",
            "fax_number": "754-264-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 W State Road 84 Ste 220",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333244220",
            "country_code": "US",
            "telephone_number": "754-213-1646",
            "fax_number": "754-264-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCARE ORTHOPEDICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "FARUQUI",
        "authorized_official_first_name": "NAJMUS",
        "authorized_official_middle_name": "SAQUIB",
        "authorized_official_title_or_position": "PRACTITIONER",
        "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": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@procareorthopedics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5190 NW 167th St Ste 309",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330146338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.