Individual provider Active NPI

Javeed Ahmed Rangrez, BO, CPO

  • Prosthetist
  • Bayside, NY
National Provider Identifier
1851733323
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
C49842 Issued in MD
Practice address
4223 Francis Lewis Blvd # M201
Bayside, NY 11361-2575
Phone
(718) 952-4341
Fax
(833) 652-1544
NPI assigned
Jul 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X C49842 MD Primary
Orthotist 222Z00000X C49842 MD
Pedorthist 224L00000X C49842 MD

Addresses

Primary practice location

4223 Francis Lewis Blvd # M201
Bayside, NY 11361-2575

Mailing address

4223 Francis Lewis Blvd # M201
Bayside, NY 11361-2575
Phone (718) 952-4341

Other practice location 1

1893 Eastern Pkwy
Brooklyn, NY 11233-4392
Phone (718) 385-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C49842MDMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Jr Prosthetics and Orthotics LLC Orthotist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1851733323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 FRANCIS LEWIS BLVD # M201",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612575",
            "telephone_number": "718-952-4341",
            "fax_number": "833-652-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 FRANCIS LEWIS BLVD # M201",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612575",
            "telephone_number": "718-952-4341",
            "fax_number": "833-652-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112334392",
            "country_code": "US",
            "telephone_number": "718-385-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGREZ",
        "first_name": "JAVEED",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "BO, CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MD",
            "license": "C49842",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MD",
            "license": "C49842",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MD",
            "license": "C49842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.