DOMINIQUE BOURGELAIS FNP-BC
NPI 1427806900
Nurse Practitioner - Family in Staten Island, NY

Active since May 09, 2024
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Bourgelais Fnp-bc NPPES

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

DOMINIQUE BOURGELAIS FNP-BC (NPI 1427806900) is an individual family provider in Staten Island, New York, licensed in New York (2023210664) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1427806900
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE BOURGELAISCredential: FNP-BC
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-9000
Sole ProprietorYes
Enumeration DateMay 9, 2024
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1427806900 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 · 2023210664
475 SEAVIEW AVE, Staten Island, NY 10305

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.

Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305

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 Dominique Bourgelais's NPI number?

The NPI number for Dominique Bourgelais is 1427806900. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Dominique Bourgelais located?

Dominique Bourgelais practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.

What is Dominique Bourgelais's specialty?

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

When was this NPI record last updated?

The NPPES record for Dominique Bourgelais was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.