Majestic Orthotics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAJESTIC ORTHOTICS, LLC

Practice address

7041 Grand National Dr Ste 100
Orlando, FL 32819-8379

Phone

(407) 723-0791

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Brad Jon Novack

Title

Owner

Phone

(407) 723-0791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1912462250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 GRAND NATIONAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198379",
            "telephone_number": "407-723-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 GRAND NATIONAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198379",
            "telephone_number": "407-723-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-723-0791"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehan Mairajuddin, BCBA
• Ivy Mairura
• Rick Maith, L.C.S.W.
• Maj Consulting Service, LLC
• Aleena Majeed, MD
• Charles Majetich, CRNA
• Sughosh H Majmundar, B.S.
• Athina Shyann Dorise Major
• Gabrielle Elizabeth Major
• Joshua R Major, DC

• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.