CARLOS DOMINGUEZ NP
NPI 1386079424
Nurse Practitioner - Family in New York, NY

Q: What is Carlos Dominguez's NPI number?

The NPI number for Carlos Dominguez is 1386079424. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Q: What is Carlos Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Dominguez was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since September 09, 2013PECOS Enrolled

622 W 168TH ST, AIM CLINIC VC2, NEW YORK, NY 10032(212) 305-6262 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carlos Dominguez Np NPPES

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

CARLOS DOMINGUEZ NP (NPI 1386079424) is an individual family provider in New York, New York, licensed in New York (337744) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386079424

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCARLOS DOMINGUEZCredential: NP

Location Address622 W 168TH ST, AIM CLINIC VC2New York, NY 10032-3720

Mailing Address140 Hepburn Rd, Apt 5mClifton, NJ 07012-2231 · (201) 478-2205

Phone(212) 305-6262

Sole ProprietorNo

Enumeration DateSeptember 9, 2013

Last NPPES UpdateAugust 20, 2014

✔ NPI 1386079424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 337744

622 W 168TH ST, New York, NY 10032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Dominguez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine