Ms. Dominique C Koons, PA
Physician Assistant in Vineland, New Jersey
1598203051- Practice location
- 1505 W Sherman Ave Ste 112, Vineland, NJ 08360-7059
- Phone
- 856-641-7920
- Fax
- 856-641-7915
- Last updated
- January 30, 2024
Dominique Christina Koons is a Physician Assistant based in Vineland, NJ. Dominique Christina Koons practices in Vineland, NJ and has the professional credentials of PA. The NPI Number for Dominique Christina Koons is 1598203051 and holds a License No. 25MP00421800 (NJ). The current practice location address for Dominique Christina Koons is 1505 W Sherman Ave Ste 112, Vineland, NJ 08360-7059 and can be reached out via phone at 856-641-7920 and via fax at 856-641-7915.
Provider Profile Details
- NPI Number
- 1598203051
- Provider Name
- Dominique Christina Koons
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1505 W Sherman Ave Ste 112, Vineland, NJ 08360-7059
- Phone Number
- 856-641-7920
- Fax Number
- 856-641-7915
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 5, 2017
- Last Update Date
- January 30, 2024
- Certification Date
- January 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1505 W Sherman Ave Ste 112
Vineland, NJ 08360-7059 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-7059
- Phone Number
- 856-641-7920
- Fax Number
- 856-641-7915
Provider Business Mailing Address Details
- Address
- 1715 Country Bridge RD
Millville, NJ 08332-1114 - City
- Millville
- State
- NJ
- Zip
- 08332-1114
- Phone Number
- 609-364-6826
License Information
- License Number (1)
- 25MP00421800
- License State (1)
- NJ
- Taxonomy (1)
- Clinical Nurse Specialist, Oncology · 364SX0200X
- License Number (2)
- 25MP00421800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Vineland, NJ
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Frequently Asked Questions
What is the NPI number of Ms. Dominique C Koons, PA?
The NPI number of Ms. Dominique C Koons, PA is 1598203051. It was assigned on February 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Dominique C Koons, PA?
Ms. Dominique C Koons, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00421800.
Where does Ms. Dominique C Koons, PA practice?
The practice location is 1505 W Sherman Ave Ste 112, Vineland, NJ 08360-7059. The office can be reached at 856-641-7920 (phone) or 856-641-7915 (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 1598203051 directly on the NPPES registry website.