Active NPI
Jay B Fine, M.D.
- Plastic Surgery Physician
- Pembroke Pines, FL
National Provider Identifier
1952344863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME25699
- Practice address
- 601 N Flamingo Rd
Ste 403
Pembroke Pines, FL 33028-1015 - Phone
- (954) 436-0244
- Fax
- (954) 374-8855
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME25699 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Ste 403
Pembroke Pines, FL 33028-1015
Mailing address
601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015
Phone (954) 436-0244
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228876 | Other | FL | AVMED |
| 854177 | Other | FL | AETNA |
| 78422 | Other | FL | BLUE CROSS & BLUE SHIELD |
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 |
|---|---|---|---|
| ME25699 | FL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Associates of Florida P a | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pembroke Pines, FL
- NPI 1831302942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1952344863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 403",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-436-0244",
"fax_number": "954-374-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "STE 403",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-436-0244",
"fax_number": "954-374-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JAY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME25699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "228876",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "854177",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "78422",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Benidict Keefe Figueroa, R.N.
- Ernesto Rafael Figueroa, SURGICAL ASSISTANT
- Eugenio Figueroa, PHD
- Sandra Liliana Figueroa, PTA
- William Figueroa
- Marco Antonio Fiore Urizar, MD
- Firma Care Broward LLC
- First Choice Behavioral Health, Inc
- First Choice Group Home Inc
- First Hope Home Care Inc (Firstlight Home Care of South Fort Lauderdale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.