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

DOMINION HEALTH
NPI 1235757485
Nurse Practitioner - Psychiatric/Mental Health in Green Brook, NJ

Active since July 13, 2020
933 N WASHINGTON AVE STE 2C, GREEN BROOK, NJ 08812(469) 257-3500 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Nov 3, 2025, Jun 13, 2023 and 1 more (4 updates tracked since 2020).

About Dominion Health NPPES

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

DOMINION HEALTH (NPI 1235757485) is a healthcare organization registered as a psychiatric/mental health in Green Brook, New Jersey and active in the NPI registry since July 2020. The organization lists Adebayo Arowolo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235757485
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDOMINION HEALTH
Location Address933 N WASHINGTON AVE STE 2CGreen Brook, NJ 08812-2600
Mailing Address245 Bayville AveBayville, NJ 08721-1050 · (469) 257-3500
Organization SubpartNo
Authorized OfficialAdebayo ArowoloCeo · (469) 257-3500
Enumeration DateJuly 13, 2020
Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1235757485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
933 N WASHINGTON AVE STE 2C, Green Brook, NJ 08812

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominion Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dominion Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1427682418
933 N WASHINGTON AVE STE 2C
Green Brook, NJ 08812
(469) 257-3500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194109744
200 MIDDLESEX TPKE STE 210
Iselin, NJ 08830
(315) 610-6702
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1508405382
245 BAYVILLE AVE
Bayville, NJ 08721
(469) 257-3500
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1851250807
245 BAYVILLE AVE
Bayville, NJ 08721
(267) 303-7496
✔ PECOS50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dominion Health's NPI number?

The NPI number for Dominion Health is 1235757485. It was assigned to this organization in the NPPES registry on July 13, 2020.

Where is Dominion Health located?

Dominion Health is located at 933 N Washington Ave Ste 2C, Green Brook, NJ 08812. The listed phone number is (469) 257-3500.

What is Dominion Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominion Health enrolled in Medicare?

Yes. Dominion Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dominion Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dominion Health. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dominion Health was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.