DOMINIC LANE MCAULIFFE MD
NPI 1336711423
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Dominic Lane Mcauliffe Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIC LANE MCAULIFFE MD (NPI 1336711423) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominic Lane Mcauliffe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Dominic Mcauliffe's NPI number?
The NPI number for Dominic Mcauliffe is 1336711423. It was assigned to this individual provider in the NPPES registry on July 16, 2021.
Where is Dominic Mcauliffe located?
Dominic Mcauliffe practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (503) 858-5441.
What is Dominic Mcauliffe's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Dominic Mcauliffe enrolled in Medicare?
Yes. Dominic Mcauliffe is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dominic Mcauliffe was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dominic Lane Mcauliffe, MD · NPI 1336711423
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 16, 2021.
## Identity
- **NPI:** 1336711423 (Entity type: Individual)
- **Enumerated:** July 16, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (503) 858-5441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336711423) · Data from the CMS NPPES public registry.