DR. EMILISSA JANE DOMINGO D.O.
NPI 1053578476
Emergency Medicine in West Islip, NY

Q: What is Emilissa Domingo's NPI number?

The NPI number for Emilissa Domingo is 1053578476. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Emilissa Domingo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Emilissa Domingo was last updated on May 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2008PECOS Enrolled

1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-4045 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Emilissa Jane Domingo D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILISSA JANE DOMINGO D.O. (NPI 1053578476) is an individual emergency medicine provider in West Islip, New York, licensed in New York (243270) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053578476

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. EMILISSA JANE DOMINGOCredential: D.O.

Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927

Mailing Address30 8th AveFarmingdale, NY 11735-5738 · (516) 293-0451 · Fax (516) 293-0451

Phone(631) 376-4045

Sole ProprietorYes

Enumeration DateMay 22, 2008

✔ NPI 1053578476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 243270

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 MONTAUK HWY, West Islip, NY 11795

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emilissa Jane Domingo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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