Individual provider Active NPI

Minna Ruth Selub, M.D.

  • Reproductive Endocrinology Physician
  • Weston, FL
National Provider Identifier
1104962059
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME60150 Issued in FL
Practice address
2300 N Commerce Pkwy Ste 319
Weston, FL 33326-3257
Phone
(954) 217-3456
Fax
(954) 217-3462
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME60150 FL
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X ME60150 FL Primary

Addresses

Primary practice location

2300 N Commerce Pkwy Ste 319
Weston, FL 33326-3257

Mailing address

2300 N Commerce Pkwy Ste 319
Weston, FL 33326-3257
Phone (954) 217-3456

Other practice location 1

2300 N Commerce Pkwy Ste 315
Weston, FL 33326-3257
Phone (954) 217-3456

Other identifiers 1

IdentifierTypeStateIssuer
055851-00MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 11, 2026 through Jun 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME60150FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute for Reproductive Sciences and Technologies Multi-Specialty Past 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1104962059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 319",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263257",
            "telephone_number": "954-217-3456",
            "fax_number": "954-217-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 319",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263257",
            "telephone_number": "954-217-3456",
            "fax_number": "954-217-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Commerce Pkwy Ste 315",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263257",
            "country_code": "US",
            "telephone_number": "954-217-3456",
            "fax_number": "954-217-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELUB",
        "first_name": "MINNA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-12-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME60150",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME60150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055851-00",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.