Active NPIIndividual provider

Dr. Dominick Condo, MD

Internal Medicine in Bayonne, New Jersey

NPI Number1114019692
Practice location
622 Broadway, Bayonne, NJ 07002-3821
Fax
201-436-9840
Last updated
December 3, 2013

Dominick Condo is an Internal Medicine based in Bayonne, NJ. Dominick Condo practices in Bayonne, NJ and has the professional credentials of MD. The NPI Number for Dominick Condo is 1114019692 and holds a License No. MA041384 (NJ). The current practice location address for Dominick Condo is 622 Broadway, Bayonne, NJ 07002-3821 and can be reached out via phone at 201-436-2800 and via fax at 201-436-9840.

Provider Profile Details

NPI Number
1114019692
Provider Name
Dominick Condo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
622 Broadway, Bayonne, NJ 07002-3821
Phone Number
201-436-2800
Fax Number
201-436-9840
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2006
Last Update Date
December 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 Broadway
Bayonne, NJ 07002-3821
Zip
07002-3821
Phone Number
201-436-2800
Fax Number
201-436-9840
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
622 Broadway
Bayonne, NJ 07002-3821
City
Bayonne
State
NJ
Zip
07002-3821
Phone Number
201-436-2800
Fax Number
201-436-9840

License Information

License Number
MA041384
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Dominick Condo, MD?

The NPI number of Dr. Dominick Condo, MD is 1114019692. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dominick Condo, MD?

Dr. Dominick Condo, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA041384.

Where does Dr. Dominick Condo, MD practice?

The practice location is 622 Broadway, Bayonne, NJ 07002-3821. The office can be reached at 201-436-2800 (phone) or 201-436-9840 (fax).

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 1114019692 directly on the NPPES registry website.

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