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Active NPI 1417629585 Individual Practitioner Male Practitioner

Thomas Dube , PA

Physician Assistant • Ridgewood, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Dube, PA is a certified Physician Assistant practicing in Ridgewood, NY. With approximately 5 years of clinical experience since completing medical education in 2021, Thomas Dube delivers high-quality medical care to the local community at 6721 FRESH POND RD.

Thomas Dube is affiliated with Emergency Physicians Professional Association and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6721 Fresh Pond Rd

Ridgewood, NY 113854562

Telephone 9294689920
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ridgewood, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Ridgewood, NY (15701 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dube (5 Years) 5 Yrs
Ridgewood Specialty Average (5.0 Years) 5.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 15334

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 027508-01

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Emergency Physicians Professional Association

3010 Denmark Ave, Eagan, MN 551212271

Phone: 6517899900

Emergency Physicians Professional Association

4300 Marketpointe Dr, Bloomington, MN 554355435

Phone: 9528359880

Emergency Physicians Professional Association

6110 Golden Hills Dr, Golden Valley, MN 554161020

Phone: 9528359880

Emergency Physicians Professional Association

7115 Tamarack Rd, Woodbury, MN 551251208

Phone: 6517897000

Emergency Physicians Professional Association

1159 County Rd E E, Vadnais Heights, MN 551105183

Phone: 6517896500

Secondary Practice Locations

163 William St Fl 5

New York, NY 100382602

Phone: 2126186052

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address May 07, 2025

Registered at 4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 554355435 (Tel: 9527674574)

📍
Updated Practice Location July 08, 2024

Registered at 6721 FRESH POND RD, RIDGEWOOD, NY 113854562 (Tel: 9294689920)

📍
Updated Business Mailing Address July 08, 2024

Registered at 6721 FRESH POND RD, RIDGEWOOD, NY 113854562

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2024

Physician Assistant (License #027508-01 in NY)

NPI Profile Active September 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2021

Registered at 163 WILLIAM ST FL 5, NEW YORK, NY 100382602 (Tel: 2126186052)

📍
Updated Business Mailing Address September 28, 2021

Registered at 163 WILLIAM ST FL 5, NEW YORK, NY 100382602

👤
Provider Name / Credentials Updated September 28, 2021

Recorded as THOMAS DUBE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417629585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2021
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

4300 Market Pte Dr Ste 100

Bloomington, MN 554355435

Phone: 9527674574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.