NPIMap

Organization Active NPI

Matthew Taub MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1992007496
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MATTHEW TAUB MD PA
Doing business as
Matthew Taub MD PA
Practice address
12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone
(954) 432-6595
Fax
(954) 432-6266
NPI assigned
Dec 3, 2010
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mrs. Ingrid Santos
Title
Medical Administrator
Phone
(954) 432-6595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Oncology Clinic/Center 261QX0200X ME82721 FL

Addresses

Primary practice location

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723

Mailing address

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 432-6595

Other practice location 1

4700 Sheridan St Ste M
Hollywood, FL 33021-3416
Phone (754) 230-4320

Other names 1

  • MATTHEW TAUB MD PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110121000183 FL Part B Supplier - Clinic/Group Practice 0749469856 Receives reassigned benefits from 10 practitioners
Practice locations: Hollywood, FL; Pembroke Pines, FL; Miramar, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1018326Matthew Taub MD PA12309 Pembroke Rd, Pembroke Pines, FL 33025ComplianceMar 8, 2027
10D2174100Matthew Taub MD PA4700 Sheridan Street Suite M, Hollywood, FL 33021ComplianceMay 27, 2028

National Provider Directory

National Provider Directory

Locations

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

601 N Flamingo Rd
Ste 403B
Pembroke Pnes, FL 33028
Phone (954) 432-6595

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1992007496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Sheridan St Ste M",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213416",
            "country_code": "US",
            "telephone_number": "754-230-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW TAUB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "MEDICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "954-432-6595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "FL",
            "license": "ME82721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATTHEW TAUB MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.