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

JUAN CARLOS DOMINGUEZ FNP
NPI 1225887524
Nurse Practitioner - Family in Jackson Heights, NY

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372(718) 457-7000 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jun 4, 2024, May 17, 2024 (3 updates tracked since 2024).

About Juan Carlos Dominguez Fnp NPPES

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

JUAN CARLOS DOMINGUEZ FNP (NPI 1225887524) is an individual family provider in Jackson Heights, New York, licensed in New York (354416) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225887524
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUAN CARLOS DOMINGUEZCredential: FNP
Location Address9033 ELMHURST AVEJackson Heights, NY 11372-7935
Mailing Address1 Blue Hill Plz Ste 2411229Pearl River, NY 10965-3104 · (917) 600-2816
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 17, 2024
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1225887524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 354416
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 809914 (NY)
9033 ELMHURST AVE, Jackson Heights, NY 11372

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

Juan Carlos Dominguez Fnp 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 ID5698218584
PECOS Enrollment IDI20240620000824
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 11372 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 20

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

Social Worker
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Physical Therapy Assistant
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Physician Assistant
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Physician Assistant
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Physician Assistant
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Dentist (General Practice)
9033 ELMHURST AVE, 3RD FLOOR
JACKSON HEIGHTS, NY 11372
Family Medicine
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372
Internal Medicine
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372

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 Juan Dominguez's NPI number?

The NPI number for Juan Dominguez is 1225887524. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Juan Dominguez located?

Juan Dominguez practices at 9033 Elmhurst Ave, Jackson Heights, NY 11372. The listed phone number is (718) 457-7000.

What is Juan Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Juan Dominguez enrolled in Medicare?

Yes. Juan Dominguez 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.

When was this NPI record last updated?

The NPPES record for Juan Dominguez was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.