Active NPIIndividual provider

Michelle Domingo, PA-C

Physician Assistant in Raritan, New Jersey

NPI Number1952737116
Practice location
575 State Route 28 Ste 2108, Raritan, NJ 08869-1354
Fax
862-204-3456
Last updated
October 11, 2022

Michelle Domingo is a Physician Assistant based in Raritan, NJ. Michelle Domingo practices in Raritan, NJ and has the professional credentials of PA-C. The NPI Number for Michelle Domingo is 1952737116. The current practice location address for Michelle Domingo is 575 State Route 28 Ste 2108, Raritan, NJ 08869-1354 and can be reached out via phone at 973-295-6335 and via fax at 862-204-3456.

Provider Profile Details

NPI Number
1952737116
Provider Name
Michelle Domingo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
575 State Route 28 Ste 2108, Raritan, NJ 08869-1354
Phone Number
973-295-6335
Fax Number
862-204-3456
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2013
Last Update Date
October 11, 2022
Certification Date
October 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 State Route 28 Ste 2108
Raritan, NJ 08869-1354
Zip
08869-1354
Phone Number
973-295-6335
Fax Number
862-204-3456
Raritan, NJ 08869Get directions →

Provider Business Mailing Address Details

Address
575 State Route 28 Ste 2108
Raritan, NJ 08869-1354
City
Raritan
State
NJ
Zip
08869-1354
Phone Number
973-295-6335
Fax Number
862-204-3456

License Information

Taxonomy
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 Michelle Domingo, PA-C?

The NPI number of Michelle Domingo, PA-C is 1952737116. It was assigned on September 19, 2013 and is currently active in the NPPES registry.

What is the specialty of Michelle Domingo, PA-C?

Michelle Domingo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Michelle Domingo, PA-C practice?

The practice location is 575 State Route 28 Ste 2108, Raritan, NJ 08869-1354. The office can be reached at 973-295-6335 (phone) or 862-204-3456 (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 1952737116 directly on the NPPES registry website.

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