Active NPI
Lynn M Nusbaum, MD
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1831289016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 45422
- Practice address
- 7000 S.W. 62 Ave.
Penthouse a
Miami, FL 33143-4721 - Phone
- (305) 665-2223
- Fax
- (305) 663-6783
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 45422 | FL | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 45422 | FL |
Addresses
Primary practice location
7000 S.W. 62 Ave.
Penthouse a
Miami, FL 33143-4721
Mailing address
7000 S.W. 62 Ave.
Pent House a
Miami, FL 33143-4721
Phone (305) 665-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45422 | FL | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1831289016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 S.W. 62 AVE.",
"address_2": "PENT HOUSE A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434721",
"telephone_number": "305-665-2223",
"fax_number": "305-663-6783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 S.W. 62 AVE.",
"address_2": "PENTHOUSE A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434721",
"telephone_number": "305-665-2223",
"fax_number": "305-663-6783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSBAUM",
"first_name": "LYNN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "45422",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "45422",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.