DR. JONATHAN MANUEL DOMINGUEZ M.D.
NPI 1376923755
Family Medicine in North Bergen, NJ

NPI Status: Active since June 01, 2015

Contact Information

7919 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 528-3664
Fax: (201) 528-3662

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  • Individual
  • Male
  • Years of Experience 9
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JONATHAN DOMINGUEZ

Jonathan Dominguez is a primary care provider established in North Bergen, New Jersey and his medical specialization is Family Medicine with more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1376923755 assigned on June 2015. The practitioner's primary taxonomy code is 207Q00000X with license number 25MA10256200 (NJ). The provider is registered as an individual and his NPI record was last updated June 2024.

NPI
1376923755
Provider Name
DR. JONATHAN MANUEL DOMINGUEZ M.D.
Gender
Male
Entity Type
Individual
Location Address
7919 KENNEDY BLVD NORTH BERGEN, NJ 07047
Location Phone
(201) 528-3664
Location Fax
(201) 528-3662
Mailing Address
7919 KENNEDY BLVD NORTH BERGEN, NJ 07047
Mailing Phone
(201) 528-3664
Mailing Fax
(201) 528-3662
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
06-01-2015
Last Update Date
06-13-2024
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A primary care provider (PCP) like Jonathan Dominguez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jonathan Dominguez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA10256200
License State
NJ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Gold - EPO
    • Everyday Gold + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
    • Focused Silver - EPO
    • Focused Silver + Vision + Adult Dental - EPO
    • Premier Bronze HSA - EPO
    • Premier Bronze HSA + Vision + Adult Dental - EPO
    • Standard Expanded Bronze - EPO
    • Standard Expanded Bronze + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Jonathan Dominguez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4688914765

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200113000028

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07047 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $101.4
  • Minimum New Patient Price $66.45
  • Maximum New Patient Price $198.48
  • Average New Patient Copayment $25.35
  • Minimum New Patient Copayment $16.61
  • Maximum New Patient Copayment $49.62

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $116.86
  • Minimum Established Patient Price $21.27
  • Maximum Established Patient Price $162.58
  • Average Established Patient Copayment $29.21
  • Minimum Established Patient Copayment $5.31
  • Maximum Established Patient Copayment $40.64

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 29

    Administration of influenza virus vaccine (HCPCS:G0008)

  • 19

    Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jonathan Dominguez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PALISADES MEDICAL CENTER7600 RIVER RD
NORTH BERGEN, NJ 7047
(201) 854-5004Acute Care Hospitals
HOLY NAME MEDICAL CENTER718 TEANECK RD
TEANECK, NJ 7666
(201) 833-3000Acute Care Hospitals
ENGLEWOOD HOSPITAL AND MEDICAL CENTER350 ENGLE ST
ENGLEWOOD, NJ 7631
(201) 894-3000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376923755
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461826710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 2 + 6 + 7 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1376923755 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700383924 CARIDAD MANUELA IPARRAGUIRRE MD
Individual
Family Medicine7919 KENNEDY BLVD
NORTH BERGEN, NJ 07047
(201) 833-3000
1801509062 JOCELYN ANGELA ORTIZ FNP-C
Individual
Nurse Practitioner (Family)7919 KENNEDY BLVD
NORTH BERGEN, NJ 07047
(201) 351-3177
1548891385DOMI HEALTHCARE LLC
Organization
Family Medicine7919 KENNEDY BLVD
NORTH BERGEN, NJ 07047
(201) 528-3664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376923755, enumerated in the NPI registry as an "individual" on June 01, 2015

The provider is located at 7919 Kennedy Blvd North Bergen, Nj 07047 and the phone number is (201) 528-3664

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 9 years of experience.

The provider might be accepting Accepts: Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine and Injection beneath the skin or into muscle for therapy, diagnosis, or prevention.

The practitioner is affiliated to the following hospital(s): PALISADES MEDICAL CENTER, HOLY NAME MEDICAL CENTER and ENGLEWOOD HOSPITAL AND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 01, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.