Tubman MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

240622 Issued in NY

Legal business name

TUBMAN MD

Practice address

78 Cromwell Ave
Staten Island, NY 10304-3912

Phone

(718) 987-9175

NPI assigned

Feb 12, 2014

Last updated

Feb 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Inna Tubman, M.D.NPI 1417018623

Title

Physician

Phone

(917) 862-4218

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Inna Tubman, M.D.

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1417018623
  NPD (past) Authorized official

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1720402613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOLINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043912",
            "telephone_number": "718-987-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "TUBMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-862-4218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "240622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoriya Tsoy, MS.SP.ED.
• Alexander Tsukerman, M.D.
• Galyna Tsybriy
• Yelena Tsygankova, MSED
• TSZ Ho Derrick Lum Family Health NP, P.C.
• Inna Tubman, M.D.
• Alice Lavette Tucker
• Joseph Tucker, DDS
• Kristine Tucker
• Victor Tucker, CASAC-T

• Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.