Dr. Connie D Domingo, MD
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Marlton, New Jersey
1902896889- Practice location
- 92 Brick RD, 3RD Floor, Marlton, NJ 08053-2177
- Phone
- 856-489-4520
- Fax
- 856-983-1065
- Last updated
- February 16, 2026
Connie D Domingo is a Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine based in Marlton, NJ. Connie D Domingo practices in Marlton, NJ and has the professional credentials of MD. The NPI Number for Connie D Domingo is 1902896889 and holds a License No. MD2026-0032 (NM). The current practice location address for Connie D Domingo is 92 Brick RD, 3RD Floor, Marlton, NJ 08053-2177 and can be reached out via phone at 856-489-4520 and via fax at 856-983-1065.
Provider Profile Details
- NPI Number
- 1902896889
- Provider Name
- Connie D Domingo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 92 Brick RD, 3RD Floor, Marlton, NJ 08053-2177
- Phone Number
- 856-489-4520
- Fax Number
- 856-983-1065
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · 2081P0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2005
- Last Update Date
- February 16, 2026
- Certification Date
- February 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 92 Brick RD
3RD Floor
Marlton, NJ 08053-2177 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-2177
- Phone Number
- 856-489-4520
- Fax Number
- 856-983-1065
Provider Business Mailing Address Details
- Address
- Po Box 674
Marlton, NJ 08053-0674 - City
- Marlton
- State
- NJ
- Zip
- 08053-0674
- Phone Number
- 856-489-4520
- Fax Number
- 856-983-1065
License Information
- License Number (1)
- MD2026-0032
- License State (1)
- NM
- Taxonomy (1)
- Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · 2081P0010X
- License Number (2)
- 25MA06376400
- License State (2)
- NJ
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · 2081P0010X · 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. Connie D Domingo, MD?
The NPI number of Dr. Connie D Domingo, MD is 1902896889. It was assigned on October 24, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Connie D Domingo, MD?
Dr. Connie D Domingo, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (code 2081P0010X), licensed in NM under license number MD2026-0032.
Where does Dr. Connie D Domingo, MD practice?
The practice location is 92 Brick RD, 3RD Floor, Marlton, NJ 08053-2177. The office can be reached at 856-489-4520 (phone) or 856-983-1065 (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 1902896889 directly on the NPPES registry website.