Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Eileen Nikko Super, MD

Surgery Physician in Miramar, FL · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124465067

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Registry record

Entity type Individual (Type 1)

Name Eileen Nikko Super

Credential MD

Sex Female

Practice address 3601 Sw 160th Ave, Suite 250, Miramar, FL, 33027

Phone (877) 866-7123

Fax (855) 855-2792

Enumeration date Jun 2, 2013

Last updated in NPPES Aug 26, 2016

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 74602 (GA) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 74602 (GA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
74602	Other	GA	GEORGIA COMPOSITE MEDICAL BOARD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1124465067 active?

Yes, as of the latest NPPES snapshot, NPI 1124465067 is active (record last updated 2016-08-26).

How do I verify Eileen Super's NPI record?

Cross-check NPI 1124465067 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Eduardo Wolffe Surgery Physician · Miramar, FL NPI 1730184821 Frederick Foeppel Internal Medicine Physician · Miramar, FL NPI 1184620668 Glen Rowe Family Medicine Physician · Miramar, FL NPI 1225035181 Heather Tipsword Family Medicine Physician · Miramar, FL NPI 1902804248 Wright Penniman Family Medicine Physician · Miramar, FL NPI 1366441552 Leigh Montes Family Medicine Physician · Miramar, FL NPI 1699775569 Vetra Gipson Plastic Surgery Physician · Miramar, FL NPI 1528068061 Jerrilyn Jutton Family Medicine Physician · Miramar, FL NPI 1548262330

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-26.