Active NPI
Jr Prosthetics and Orthotics LLC
- Prosthetist
- Bayside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- JR PROSTHETICS AND ORTHOTICS LLC
- Practice address
- 4223 Francis Lewis Blvd
Bayside, NY 11361-2575 - Phone
- (347) 804-3100
- NPI assigned
- Jul 24, 2022
- 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
- Javeed Rangrez
- Title
- Ceo
- Phone
- (347) 804-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Pedorthist | 224L00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
4223 Francis Lewis Blvd
Bayside, NY 11361-2575
Mailing address
4223 Francis Lewis Blvd
Bayside, NY 11361-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240723001903 | NY | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3577923234 | Practice locations: Bayside, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jr Prosthetics and Orthotics LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4223 Francis Lewis Blvd
Flushing, NY 11361
Phone (347) 804-3100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658620800000",
"number": "1942935846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4223 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612575",
"telephone_number": "347-804-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JR PROSTHETICS AND ORTHOTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-24",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A",
"authorized_official_last_name": "RANGREZ",
"authorized_official_first_name": "JAVEED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-804-3100"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 24, 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.