Russell Superfine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0033711 Issued in FL

Practice address

21150 NE 38TH Ave Apt 2006
Aventura, FL 33180-4040

Phone

(305) 331-2822

Fax

(305) 936-0509

NPI assigned

Mar 26, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1386910222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 NE 38TH AVE APT 2006",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 NE 38TH AVE APT 2006",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804040",
            "telephone_number": "305-331-2822",
            "fax_number": "305-936-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERFINE",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0033711",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "TM00190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254443100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Leigh Sullivan, PH.D.
• Linda Reff Summer, LCSW
• Acelyne Summerson Garcia, MD
• Sunny Island Cosmetic Surgery
• Sunshine Smiles Associates PLLC
• Surgery Center of Aventura LTD
• Steven Allen Sutnick, D.M.D.
• Nancy Svoboda, MSW
• Sherwood Saul Swartz, AP
• Margaret Caryl Sweeney, PMHNP

• Internal Medicine Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.