Jed Marie Dominguez
Physical Therapist in Jersey City, New Jersey
1063916971- Practice location
- 701 State Rt 440 Ste 21, Jersey City, NJ 07304-1069
- Phone
- 201-315-9859
- Fax
- —
- Last updated
- March 23, 2018
Jed Marie Dominguez is a Physical Therapist based in Jersey City, NJ. Jed Marie Dominguez practices in Jersey City, NJ. The NPI Number for Jed Marie Dominguez is 1063916971 and holds a License No. 40QA01782600 (NJ). The current practice location address for Jed Marie Dominguez is 701 State Rt 440 Ste 21, Jersey City, NJ 07304-1069 and can be reached out via phone at 201-315-9859.
Provider Profile Details
- NPI Number
- 1063916971
- Provider Name
- Jed Marie Dominguez
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 State Rt 440 Ste 21, Jersey City, NJ 07304-1069
- Phone Number
- 201-315-9859
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2018
- Last Update Date
- March 23, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 State Rt 440 Ste 21
Jersey City, NJ 07304-1069 - City
- Jersey City
- State
- New Jersey
- Zip
- 07304-1069
- Phone Number
- 201-315-9859
Provider Business Mailing Address Details
- Address
- 3 Rose CT Fl 2
Bayonne, NJ 07002-1291 - City
- Bayonne
- State
- NJ
- Zip
- 07002-1291
License Information
- License Number
- 40QA01782600
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jed Marie Dominguez?
The NPI number of Jed Marie Dominguez is 1063916971. It was assigned on March 23, 2018 and is currently active in the NPPES registry.
What is the specialty of Jed Marie Dominguez?
Jed Marie Dominguez is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01782600.
Where does Jed Marie Dominguez practice?
The practice location is 701 State Rt 440 Ste 21, Jersey City, NJ 07304-1069. The office can be reached at 201-315-9859 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063916971 directly on the NPPES registry website.