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MARIA ELOISA SOLOMON DOMINGO M.D.
NPI 1447502588
Student in an Organized Health Care Education/Training Program in Paterson, NJ

Active since October 14, 2012PECOS Enrolled
200 HOSPITAL PLZ, APT 301, PATERSON, NJ 07503(916) 833-8745 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria Eloisa Solomon Domingo M.d. NPPES

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

MARIA ELOISA SOLOMON DOMINGO M.D. (NPI 1447502588) is an individual student in an organized health care education/training program in Paterson, New Jersey and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447502588
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIA ELOISA SOLOMON DOMINGOCredential: M.D.
Location Address200 HOSPITAL PLZ, APT 301Paterson, NJ 07503-3072
Mailing Address200 Hospital Plz, Apt 301Paterson, NJ 07503-3072 · (916) 833-8745
Phone(916) 833-8745
Sole ProprietorYes
Enumeration DateOctober 14, 2012
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1447502588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 HOSPITAL PLZ, Paterson, NJ 07503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Eloisa Solomon Domingo M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Eloisa Domingo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,382 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1225060742 (California)
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SRIPRIYA KRISHNAMOORTHY
Student in an Organized Health Care Education/Training Program
200 HOSPITAL PLZ, #104
PATERSON, NJ 07503
Passaic County (203) 300-7514

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 Maria Eloisa Domingo's NPI number?

The NPI number for Maria Eloisa Domingo is 1447502588. It was assigned to this individual provider in the NPPES registry on October 14, 2012.

Where is Maria Eloisa Domingo located?

Maria Eloisa Domingo practices at 200 Hospital Plz Apt 301, Paterson, NJ 07503. The listed phone number is (916) 833-8745.

What is Maria Eloisa Domingo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maria Eloisa Domingo enrolled in Medicare?

Yes. Maria Eloisa Domingo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Eloisa Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Eloisa Domingo reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Eloisa Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maria Eloisa Domingo was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.