NPIMap

Organization Active NPI

Anite Lubin MD PA

  • Internal Medicine Physician
  • N Miami, FL
National Provider Identifier
1366536559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANITE LUBIN MD PA
Practice address
1073 NE 125TH Street
N Miami, FL 33161
Phone
(305) 787-5909
Fax
(305) 981-2600
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anite M Lubin, MD
Title
President
Phone
(305) 787-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

1073 NE 125TH Street
N Miami, FL 33161

Mailing address

4724 Monroe Street
Hollywood, FL 33021
Phone (305) 981-4700

Other identifiers 1

IdentifierTypeStateIssuer
2536587MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366536559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 MONROE STREET",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "305-981-4700",
            "fax_number": "305-981-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 NE 125TH STREET",
            "city": "N MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "305-787-5909",
            "fax_number": "305-981-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITE LUBIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "ANITE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-787-5909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536587",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.