ELISE DEDOMINICIS DDS
NPI 1184288581
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 01, 2019PECOS Enrolled
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-7890 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elise Dedominicis Dds NPPES

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

ELISE DEDOMINICIS DDS (NPI 1184288581) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1184288581
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISE DEDOMINICISCredential: DDS
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing Address2112 Webster StPhiladelphia, PA 19146-1235
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1184288581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentistTaxonomy 122300000X · License DS042760 (PA)
5501 OLD YORK RD, Philadelphia, PA 19141

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-6741

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Elise Dedominicis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for ELISE DEDOMINICIS DDS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Acute Care Hospital
5501 OLD YORK RD
PHILA, PA 19141
Skilled Nursing Facility
5501 OLD YORK RD
PHILA, PA 19141
Rehabilitation Unit
5501 OLD YORK RD
PHILA, PA 19141
Nurse Practitioner (Adult Health)
5501 OLD YORK RD, BRAEMER BLDG 2ND FLOOR
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD, KORMAN B-6
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD, KORMAN BUILDING, B2
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Pathology (Anatomic Pathology & Clinical Pathology)
5501 OLD YORK RD, TOWER BUILDING, GRND. FLOOR
PHILADELPHIA, PA 19141
Anesthesiology
5501 OLD YORK RD, TOWER 3
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Pathology (Anatomic Pathology & Clinical Pathology)
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK RD, WILLOWCREST ROAD 4TH FLOOR
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Internal Medicine (Nephrology)
5501 OLD YORK RD, LEVY GRD FLOOR
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184288581, enumerated as an "individual" on May 01, 2019.

The provider is located at 5501 OLD YORK RD PHILADELPHIA, PA 19141 and the phone number is (215) 456-7890.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.