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MS. MARITZA DOMINGUEZ ANP
NPI 1457339202
Nurse Practitioner - Adult Health in Freeport, NY

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
101 S BERGEN PLACE, FREEPORT, NY 11520(516) 623-3600(516) 623-9191 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Maritza Dominguez Anp NPPES

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

MS. MARITZA DOMINGUEZ ANP (NPI 1457339202) is an individual adult health provider in Freeport, New York, licensed in New York (F303551) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1457339202
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MARITZA DOMINGUEZCredential: ANP
Location Address101 S BERGEN PLACEFreeport, NY 11520
Mailing Address380 Nassau Rd, Long Island Fqhc, Inc.Roosevelt, NY 11575-1343 · (516) 571-8600
Phone(516) 623-3600
Fax(516) 623-9191
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 3, 2006
Last NPPES UpdateApril 20, 2015
✔ NPI 1457339202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F303551
101 S BERGEN PLACE, Freeport, NY 11520
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Other Identifiers 2

Medicaid02481836NY
Medicare UPINP69542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maritza Dominguez Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022204346
PECOS Enrollment IDI20101130000073
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 11520 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims38 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$0.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$197.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Maritza Dominguez's NPI number?

The NPI number for Maritza Dominguez is 1457339202. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Maritza Dominguez located?

Maritza Dominguez practices at 101 S Bergen Place, Freeport, NY 11520. The listed phone number is (516) 623-3600.

What is Maritza Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maritza Dominguez enrolled in Medicare?

Yes. Maritza Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maritza Dominguez was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.