Individual provider Active NPI

Patrick Roy Quito Rubio, PA

  • Physician Assistant
  • Homer, NY
National Provider Identifier
1700614476
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032097 Issued in NY
Practice address
3 Technology PL
Homer, NY 13077-1526
Phone
(607) 753-3774
NPI assigned
Jul 24, 2024
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 032097 NY Primary

Addresses

Primary practice location

3 Technology PL
Homer, NY 13077-1526

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other practice location 1

20 East Main Street
Marathon, NY 13803
Phone (607) 849-3271

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001004053 NY Practitioner - Physician Assistant 9032640040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Technology PL
Homer, NY 13077-1526
Phone (607) 753-3774

4038 W Rd
Cortland, NY 13045-1842
Phone (607) 758-3008

85 S W St
Homer, NY 13077-1542
Phone (607) 753-3797

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
032097NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

4038 West Rd
Cortland, NY 13045
Phone (607) 758-3008

3 Technology Pl
Homer, NY 13077
Phone (607) 753-3774

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Interoperability endpoints

  • Direct secure messaging: patrick.rubio.1@28343.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1700614476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TECHNOLOGY PL",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771526",
            "telephone_number": "607-753-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "NY",
            "postal_code": "13803",
            "country_code": "US",
            "telephone_number": "607-849-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "PATRICK",
        "middle_name": "ROY QUITO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3 Technology Pl",
            "city": "Homer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130771526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer, NY

Sources for this page

Verify at the official NPI Registry.