Angela Joan Rubineau, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

245674 Issued in NY

Practice address

110 Ho Plaza
C/O Sonya Dellow, Gannett Health Services
Ithaca, NY 14853

Phone

(607) 255-6965

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1467414490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PEARSALL PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "address_2": "C/O SONYA DELLOW, GANNETT HEALTH SERVICES",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14853",
            "telephone_number": "607-255-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINEAU",
        "first_name": "ANGELA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "219138",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "245674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabella Roth
• Jonathan Roth
• Judith Rothenberg, LCSW-R
• Alison Rotolo
• Sarah Rose Rubenstein-Gillis, LMSW
• Alica Rucekova, MD
• Katherine Rudert
• Sarah Elizabeth Rudman, NP
• Lauren Elizabeth Rudolph, MS, LAT, ATC
• Samantha Ruiz

• Family Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.