Romulo Tubatan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005700 Issued in NY

Practice address

240 Meeting House LN
Southampton, NY 11968-5009

Phone

(631) 726-8520

Fax

(631) 726-8536

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

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 names 1

• Romulo Tubatan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1609282326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8520",
            "fax_number": "631-726-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8520",
            "fax_number": "631-726-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBATAN",
        "first_name": "ROMULO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMULO",
            "last_name": "TUBATAN",
            "credential": "P.T.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Michelle Toomey, PA
• Sabrina Trammel, D.O.
• Daisy Hanhdung Tran, M.D.
• Angelica K Treadwell, PA-C
• True North Medical Group PC (Orlin & Cohen Medical Specialists Group)
• Tuckahoe Common School District
• Aaron Benjamin Turk, MD
• University Hospital at Stony Brook (Stony Brook Southampton Hospital)
• University Hospital at Stony Brook
• Matthew Eric Unruh, PHARMD

• Physical Therapy Assistant in Southampton, NY
• Providers in Southampton, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.