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DOMINIQUE JEAN LOGUIDICE PA-C
NPI 1063186963
Physician Assistant - Surgical in Maywood, NJ

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment
113 W ESSEX ST STE 204, MAYWOOD, NJ 07607(201) 289-5551 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Jean Loguidice Pa-c NPPES

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

DOMINIQUE JEAN LOGUIDICE PA-C (NPI 1063186963) is an individual surgical provider in Maywood, New Jersey, licensed in New Jersey (25MP00631600) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063186963
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDOMINIQUE JEAN LOGUIDICECredential: PA-C
Location Address113 W ESSEX ST STE 204Maywood, NJ 07607-1023
Mailing Address113 W Essex St Ste 204Maywood, NJ 07607-1023 · (201) 289-5551
Phone(201) 289-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1063186963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NJ · 25MP00631600
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 25MP00631600 (NJ)
113 W ESSEX ST STE 204, Maywood, NJ 07607
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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 and accepts Medicare assignment

Dominique Jean Loguidice Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799214284
PECOS Enrollment IDI20250129001029
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN OTAGURO
Plastic Surgery
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551
KAREN DENISSE VERA PA-C
Physician Assistant
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551
PLAGIO AT CIMISURGICAL LLC
Physical Therapist
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551
DR. EDWARD HAHN JR. MD
Surgery (Plastic and Reconstructive Surgery)
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551
FRANK CIMINELLO MEDICAL, PC
Plastic Surgery
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551
ADVANTAGE SURGICAL AND WOUND CARE NEW JERSEY PC
Surgery
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (877) 878-3289
DR. ADAM FEINTISCH MD
Surgery (Plastic and Reconstructive Surgery)
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607
Bergen County (201) 289-5551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Loguidice's NPI number?

The NPI number for Dominique Loguidice is 1063186963. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Dominique Loguidice located?

Dominique Loguidice practices at 113 W Essex St Ste 204, Maywood, NJ 07607. The listed phone number is (201) 289-5551.

What is Dominique Loguidice's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dominique Loguidice enrolled in Medicare?

Yes. Dominique Loguidice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dominique Loguidice affiliated with any hospitals?

According to CMS data, Dominique Loguidice is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Dominique Loguidice was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.