Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. RUCHOMA A DOMOSH APN, RN
NPI 1144612763
Nurse Practitioner - Pediatrics in Lakewood, NJ

Active since February 19, 2015
109A RENA LN, LAKEWOOD, NJ 08701(646) 942-8882 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Jun 16, 2016 (2 updates tracked since 2016).

About Ms. Ruchoma A Domosh Apn, Rn NPPES

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

MS. RUCHOMA A DOMOSH APN, RN (NPI 1144612763) is an individual pediatrics provider in Lakewood, New Jersey, licensed in New Jersey (26NJ15036700) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1144612763
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. RUCHOMA A DOMOSHCredential: APN, RN
Location Address109A RENA LNLakewood, NJ 08701-5290
Mailing Address109a Rena LnLakewood, NJ 08701-5290 · (646) 942-8882
Sole ProprietorYes
Enumeration DateFebruary 19, 2015
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1144612763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ15036700
109A RENA LN, Lakewood, NJ 08701

Other Names 1

Former Name (1)Ruchoma Avigail Kaganoff

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 Ruchoma Domosh's NPI number?

The NPI number for Ruchoma Domosh is 1144612763. It was assigned to this individual provider in the NPPES registry on February 19, 2015. The provider is also known as Ruchoma Avigail Kaganoff.

Where is Ruchoma Domosh located?

Ruchoma Domosh practices at 109A Rena Ln, Lakewood, NJ 08701. The listed phone number is (646) 942-8882.

What is Ruchoma Domosh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Ruchoma Domosh was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.