Active NPIIndividual provider

Jessica Dominguez, PA-C

Physician Assistant in Clifton, New Jersey

NPI Number1518749092
Practice location
1135 Main Ave, Clifton, NJ 07011-2353
Fax
—
Last updated
December 27, 2023

Jessica Dominguez is a Physician Assistant based in Clifton, NJ. Jessica Dominguez practices in Clifton, NJ and has the professional credentials of PA-C. The NPI Number for Jessica Dominguez is 1518749092 and holds a License No. 030723 (NY). The current practice location address for Jessica Dominguez is 1135 Main Ave, Clifton, NJ 07011-2353 and can be reached out via phone at 973-928-3388.

Provider Profile Details

NPI Number
1518749092
Provider Name
Jessica Dominguez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1135 Main Ave, Clifton, NJ 07011-2353
Phone Number
973-928-3388
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2023
Last Update Date
December 27, 2023
Certification Date
December 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Main Ave
Clifton, NJ 07011-2353
Zip
07011-2353
Phone Number
973-928-3388
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
187 Hope Ave Apt 2
Passaic, NJ 07055-6707
City
Passaic
State
NJ
Zip
07055-6707

License Information

License Number (1)
030723
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00812900
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Jessica Dominguez, PA-C?

The NPI number of Jessica Dominguez, PA-C is 1518749092. It was assigned on October 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Jessica Dominguez, PA-C?

Jessica Dominguez, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 030723.

Where does Jessica Dominguez, PA-C practice?

The practice location is 1135 Main Ave, Clifton, NJ 07011-2353. The office can be reached at 973-928-3388 (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 1518749092 directly on the NPPES registry website.

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