Andrew Joseph Tubiolo, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003297 Issued in NY

Practice address

714 Titus Ave
Rochester, NY 14617-3927

Phone

(585) 288-4050

Fax

(585) 787-0293

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1235167230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HAWKES TRL",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804213",
            "telephone_number": "585-670-0683",
            "fax_number": "585-787-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173927",
            "telephone_number": "585-288-4050",
            "fax_number": "585-787-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBIOLO",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE EXCELLUS",
            "identifier": "P010003297",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00718676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100102EQ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raphael T Tshibangu, MD
• Alexandra Tsigarida, DDS, MS
• Georgios Tsoulfas
• John H Tu, MD
• Lydie Tshiyoyo Tubene, OD
• Brittany Tubiolo, PA-C
• Shelby M. Tubiolo, NP
• Melissa Ann Tubolino, RPA-C
• Antonia Tuck
• Jessica Tuck

• Podiatrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.