MR. CHRISTOPHER JAMES DOMINIQUE RPA-C
NPI 1104083682
Physician Assistant - Surgical in N Massapequa, NY

Q: What is Christopher Dominique's NPI number?

The NPI number for Christopher Dominique is 1104083682. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Christopher Dominique's specialty?

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

Active since May 21, 2008PECOS Enrolled

91.25/100

CMS Quality Rating

15 MARLBORO AVE, N MASSAPEQUA, NY 11758(516) 557-3254 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Christopher James Dominique Rpa-c NPPES

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

MR. CHRISTOPHER JAMES DOMINIQUE RPA-C (NPI 1104083682) is an individual surgical provider in N Massapequa, New York, licensed in New York (012547-1) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104083682

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. CHRISTOPHER JAMES DOMINIQUECredential: RPA-C

Location Address15 MARLBORO AVEN Massapequa, NY 11758-2429

Mailing Address15 Marlboro AveN Massapequa, NY 11758-2429 · (516) 541-8919

Phone(516) 557-3254

Sole ProprietorNo

Enumeration DateMay 21, 2008

✔ NPI 1104083682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 012547-1

15 MARLBORO AVE, N Massapequa, NY 11758

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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)

Mr. Christopher James Dominique Rpa-c 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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 Christopher Dominique's NPI number?

The NPI number for Christopher Dominique is 1104083682. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Christopher Dominique located?

Christopher Dominique practices at 15 Marlboro Ave, N Massapequa, NY 11758. The listed phone number is (516) 557-3254.

What is Christopher Dominique's specialty?

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

Is Christopher Dominique enrolled in Medicare?

Yes. Christopher Dominique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Dominique was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.