Organization Active NPI

Ajc Software Inc

Doing business as JR Orthotics

  • Prosthetic/Orthotic Supplier
  • Winter Garden, FL
National Provider Identifier
1962964809
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AJC SOFTWARE INC
Doing business as
JR Orthotics
Practice address
1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362
Phone
(407) 665-2522
Fax
(407) 664-2522
NPI assigned
Apr 1, 2019
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AJC SOFTWARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Rochelle Amanda Collazo
Title
Owner
Phone
(407) 353-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362

Mailing address

7512 Dr. Phillips Boulevard #50-244
Orlando, FL 32819
Phone (787) 317-4702

Other names 1

  • JR Orthotics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613000641 FL DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 9638376320 Practice locations: Winter Garden, FL

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
Jr Orthotics1261 Winter Garden Vineland Rd, Winter Garden, FL 34787-4362(407) 664-2522 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Ostomy Supplies|Limb Prostheses|S… Does not accept assignmentParticipating since Jun 26, 2008

National Provider Directory

National Provider Directory
Part of
Ajc Software Inc

Locations

7512 Dr Phillips Blvd
Ste 50-244
Orlando, FL 32819

1261 Winter Garden Vineland Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 664-2522

30 Calle Padial
Ste 120
Caguas, PR 00725
Phone (787) 478-6319

143 El Tuque Industrial Park
Ponce, PR 00728
Phone (787) 492-0020

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1962964809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 DR. PHILLIPS BOULEVARD #50-244",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "787-317-4702",
            "fax_number": "407-395-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WINTER GARDEN VINELAND RD STE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874362",
            "telephone_number": "407-665-2522",
            "fax_number": "407-664-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJC SOFTWARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AJC SOFTWARE INC",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-353-4144"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JR Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JR Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.