JUAN CARLOS DOMINGUEZ FNP
NPI 1225887524
Nurse Practitioner - Family in Jackson Heights, NY
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Juan Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elmhurst, NY 11373
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Juan Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Dominguez reassigns Medicare benefits to Queens Medical Office, P.C. (Elmhurst, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 months 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.
# Juan Carlos Dominguez, FNP · NPI 1225887524
Family physician in Jackson Heights, New York. Individual provider, active in the CMS NPPES registry since May 17, 2024.
## Identity
- **NPI:** 1225887524 (Entity type: Individual)
- **Enumerated:** May 17, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 354416 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 9033 ELMHURST AVE, Jackson Heights, NY 11372-7935
- **Phone:** (718) 457-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Queens Medical Office, P.C. (NPI 1922017789, Elmhurst, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225887524) · Data from the CMS NPPES public registry.