Dr. Jonathan M Dominguez, MD
Family Medicine in North Bergen, New Jersey
1376923755- Practice location
- 7919 Kennedy Blvd, North Bergen, NJ 07047-4137
- Phone
- 201-528-3664
- Fax
- 201-528-3662
- Last updated
- June 13, 2024
Jonathan Manuel Dominguez is a Family Medicine based in North Bergen, NJ. Jonathan Manuel Dominguez practices in North Bergen, NJ and has the professional credentials of MD. The NPI Number for Jonathan Manuel Dominguez is 1376923755 and holds a License No. 25MA10256200 (NJ). The current practice location address for Jonathan Manuel Dominguez is 7919 Kennedy Blvd, North Bergen, NJ 07047-4137 and can be reached out via phone at 201-528-3664 and via fax at 201-528-3662.
Provider Profile Details
- NPI Number
- 1376923755
- Provider Name
- Jonathan Manuel Dominguez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7919 Kennedy Blvd, North Bergen, NJ 07047-4137
- Phone Number
- 201-528-3664
- Fax Number
- 201-528-3662
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 1, 2015
- Last Update Date
- June 13, 2024
- Certification Date
- June 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7919 Kennedy Blvd
North Bergen, NJ 07047-4137 - City
- North Bergen
- State
- New Jersey
- Zip
- 07047-4137
- Phone Number
- 201-528-3664
- Fax Number
- 201-528-3662
Provider Business Mailing Address Details
- Address
- 7919 Kennedy Blvd
North Bergen, NJ 07047-4137 - City
- North Bergen
- State
- NJ
- Zip
- 07047-4137
- Phone Number
- 201-528-3664
- Fax Number
- 201-528-3662
License Information
- License Number
- 25MA10256200
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · 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 Dr. Jonathan M Dominguez, MD?
The NPI number of Dr. Jonathan M Dominguez, MD is 1376923755. It was assigned on June 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan M Dominguez, MD?
Dr. Jonathan M Dominguez, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10256200.
Where does Dr. Jonathan M Dominguez, MD practice?
The practice location is 7919 Kennedy Blvd, North Bergen, NJ 07047-4137. The office can be reached at 201-528-3664 (phone) or 201-528-3662 (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 1376923755 directly on the NPPES registry website.