JOHNATHAN MARK DOMENICO PA-C
NPI 1346163367
Physician Assistant in Potsdam, NY
About Johnathan Mark Domenico Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHAN MARK DOMENICO PA-C (NPI 1346163367) is an individual physician assistant in Potsdam, New York and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POTSDAM, NY 13699
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 Johnathan Domenico's NPI number?
The NPI number for Johnathan Domenico is 1346163367. It was assigned to this individual provider in the NPPES registry on August 4, 2026.
Where is Johnathan Domenico located?
Johnathan Domenico practices at 8 Clarkson Ave, Potsdam, NY 13699. The listed phone number is (315) 268-2161.
What is Johnathan Domenico's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Johnathan Domenico was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.