Natalie K Domanski, PA-C
Physician Assistant, Surgical in Livingston, New Jersey
1629728076- Practice location
- 200 S Orange Ave Ste 180, Livingston, NJ 07039-5817
- Phone
- 973-828-0128
- Fax
- —
- Last updated
- December 16, 2022
Natalie Katherine Domanski is a Physician Assistant, Surgical based in Livingston, NJ. Natalie Katherine Domanski practices in Livingston, NJ and has the professional credentials of PA-C. The NPI Number for Natalie Katherine Domanski is 1629728076 and holds a License No. 25MP00741900 (NJ). The current practice location address for Natalie Katherine Domanski is 200 S Orange Ave Ste 180, Livingston, NJ 07039-5817 and can be reached out via phone at 973-828-0128.
Provider Profile Details
- NPI Number
- 1629728076
- Provider Name
- Natalie Katherine Domanski
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 S Orange Ave Ste 180, Livingston, NJ 07039-5817
- Phone Number
- 973-828-0128
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2022
- Last Update Date
- December 16, 2022
- Certification Date
- December 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 S Orange Ave Ste 180
Livingston, NJ 07039-5817 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-5817
- Phone Number
- 973-828-0128
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- License Number (1)
- 25MP00741900
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 25MP00741900
- License State (3)
- NJ
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Livingston, NJ
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Frequently Asked Questions
What is the NPI number of Natalie K Domanski, PA-C?
The NPI number of Natalie K Domanski, PA-C is 1629728076. It was assigned on March 28, 2022 and is currently active in the NPPES registry.
What is the specialty of Natalie K Domanski, PA-C?
Natalie K Domanski, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00741900.
Where does Natalie K Domanski, PA-C practice?
The practice location is 200 S Orange Ave Ste 180, Livingston, NJ 07039-5817. The office can be reached at 973-828-0128 (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 1629728076 directly on the NPPES registry website.