Active NPIIndividual provider

Mrs. Jessica E Domb, NP

Nurse Practitioner, Family in Middletown, New Jersey

NPI Number1104297605
Practice location
480 Red Hill RD, Middletown, NJ 07748-3052
Fax
—
Last updated
February 16, 2023

Jessica Elana Domb is a Nurse Practitioner, Family based in Middletown, NJ. Jessica Elana Domb practices in Middletown, NJ and has the professional credentials of NP. The NPI Number for Jessica Elana Domb is 1104297605 and holds a License No. 307222 (NY). The current practice location address for Jessica Elana Domb is 480 Red Hill RD, Middletown, NJ 07748-3052 and can be reached out via phone at 848-225-6265.

Provider Profile Details

NPI Number
1104297605
Provider Name
Jessica Elana Domb
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
480 Red Hill RD, Middletown, NJ 07748-3052
Phone Number
848-225-6265
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2015
Last Update Date
February 16, 2023
Certification Date
February 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
480 Red Hill RD
Middletown, NJ 07748-3052
Zip
07748-3052
Phone Number
848-225-6265
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
9 Oran Pl
Morganville, NJ 07751-2002
City
Morganville
State
NJ
Zip
07751-2002
Phone Number
917-443-7389

License Information

License Number (1)
307222
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
341708
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
26NJ00597800
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Jessica E Domb, NP?

The NPI number of Mrs. Jessica E Domb, NP is 1104297605. It was assigned on October 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica E Domb, NP?

Mrs. Jessica E Domb, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 307222.

Where does Mrs. Jessica E Domb, NP practice?

The practice location is 480 Red Hill RD, Middletown, NJ 07748-3052. The office can be reached at 848-225-6265 (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 1104297605 directly on the NPPES registry website.

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