Provider Demographics
NPI:1770572232
Name:RUBEO, THOMAS JOSEPH JR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:RUBEO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DECKER CT UNIT 1303
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2703
Mailing Address - Country:US
Mailing Address - Phone:914-319-1060
Mailing Address - Fax:
Practice Address - Street 1:101 DECKER CT UNIT 1303
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2703
Practice Address - Country:US
Practice Address - Phone:914-319-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1433551174400000X
TXR7102207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY143355OtherHIP #
NY0297476OtherGHI PPO #
NYWP162OtherOXFORD #
NY0366387000OtherAMERIHEALTH #
NY3326969OtherAETNA HMO #
NY4216861OtherAETNA PPO #
NY000000076511OtherGHI HMO #
NY0366387000OtherAMERIHEALTH #
NYWP162OtherOXFORD #