Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Dube, PA

Individual provider Physician Assistant · NPI 1417629585

Thomas Dube, PA is a Physician Assistant in Ridgewood, New York. Qualified in 2021, 5 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
5
Licensed in
MN, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone: (929) 468-9920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 163 William St Fl 5, New York, NY 10038-2602 — (212) 618-6052

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15334 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 027508-01 (NY)

Record details

NPI number1417629585
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Ridgewood