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CRICKET HEALTH MEDICAL PRACTICE OF NEW JERSEY
NPI 1447910864
Internal Medicine - Nephrology in Boston, MA

Active since December 27, 2021
68 HARRISON AVE STE 39516, BOSTON, MA 02111(888) 780-0253 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Sep 23, 2024, Dec 27, 2021 (3 updates tracked since 2021).

About Cricket Health Medical Practice Of New Jersey NPPES

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

CRICKET HEALTH MEDICAL PRACTICE OF NEW JERSEY (NPI 1447910864) is a healthcare organization registered as a nephrology in Boston, Massachusetts and active in the NPI registry since December 2021. The organization lists Julie Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1447910864
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCRICKET HEALTH MEDICAL PRACTICE OF NEW JERSEY
Location Address68 HARRISON AVE STE 39516Boston, MA 02111-1929
Mailing Address68 Harrison Ave Ste 605 Pmb 39516Boston, MA 02111-2327 · (833) 664-8244
Phone(888) 780-0253
Organization SubpartNo
Authorized OfficialJulie DominguezPresident · (833) 644-8244
Enumeration DateDecember 27, 2021
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1447910864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
68 HARRISON AVE STE 39516, Boston, MA 02111
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cricket Health Medical Practice Of New Jersey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cricket Health Medical Practice Of New Jersey, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Kathleen Guerrera
Nurse Practitioner
NPI 1326597105
1073 N BENSON RD
Fairfield, CT 06824
(203) 254-4000
✔ PECOS140 mi
Sara Vote, APRN, FNP-C
Nurse Practitioner
NPI 1871938019
2445 CHRISTINA LN. SUITE B
Conway, AR 72034
(501) 764-1315
✔ PECOS1,257 mi
Julie Dominguez, MD
Nephrology
NPI 1871760223
200 W ARBOR DR UCSD MEDICAL CENTER, MAIL CODE 9111-H: NEPHROLOGY
San Diego, CA 92103
(619) 543-5819
✔ PECOS2,583 mi
Bianca Blanco, NP
Nurse Practitioner
NPI 1649631078
626 CUTWATER LN
Foster City, CA 94404
(561) 713-7739
✔ PECOS2,698 mi

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

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 Cricket Health Medical Practice Of New Jersey's NPI number?

The NPI number for Cricket Health Medical Practice Of New Jersey is 1447910864. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Cricket Health Medical Practice Of New Jersey located?

Cricket Health Medical Practice Of New Jersey is located at 68 Harrison Ave Ste 39516, Boston, MA 02111. The listed phone number is (888) 780-0253.

What is Cricket Health Medical Practice Of New Jersey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cricket Health Medical Practice Of New Jersey enrolled in Medicare?

Yes. Cricket Health Medical Practice Of New Jersey is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cricket Health Medical Practice Of New Jersey?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Cricket Health Medical Practice Of New Jersey. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Nephrology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cricket Health Medical Practice Of New Jersey was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.