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DOMI HEALTHCARE LLC
NPI 1548891385
Family Medicine in North Bergen, NJ

Active since January 30, 2020CLIA Certified · 2 labs
7919 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 528-3664(201) 528-3662 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Jun 13, 2024, Apr 30, 2024 and 1 more (4 updates tracked since 2020).

About Domi Healthcare Llc NPPES

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

DOMI HEALTHCARE LLC (NPI 1548891385) is a healthcare organization registered as a family medicine in North Bergen, New Jersey and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in West New York, and lists Jonathan Manuel Dominguez, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1548891385
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOMI HEALTHCARE LLC
Location Address7919 KENNEDY BLVDNorth Bergen, NJ 07047
Mailing Address7919 Kennedy BlvdNorth Bergen, NJ 07047 · (201) 528-3664 · Fax (201) 528-3662
Phone(201) 528-3664
Fax(201) 528-3662
Organization SubpartNo
Authorized OfficialJonathan Manuel DominguezOwner / Physician · (201) 528-3664
Enumeration DateJanuary 30, 2020
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1548891385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7919 KENNEDY BLVD, North Bergen, NJ 07047
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Secondary Practice Location 1

Location 1219 60th StWest New York, NJ 07093-6429 · Phone (201) 528-3664 · Fax (201) 528-3662

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Domi Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Domi Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jonathan Dominguez, M.D.
Family Practice
NPI 1376923755
7919 KENNEDY BLVD
North Bergen, NJ 07047
(201) 528-3664
✔ PECOS✔ Accepts MedicareSame address
Jocelyn Ortiz, FNP-C
Nurse Practitioner
NPI 1801509062
7919 KENNEDY BLVD
North Bergen, NJ 07047
(201) 351-3177
✔ PECOSSame address
Caridad Iparraguirre, MD
Family Practice
NPI 1700383924
7919 KENNEDY BLVD
North Bergen, NJ 07047
(201) 833-3000
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2303089

Domi Healthcare Wny · West New York, NJ
Active · expires Apr 18, 2028
CLIA Number31D2303089
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorJonathan M. Dominguez
Laboratory Phone(201) 528-3664
Laboratory LocationDomi Healthcare Wny219 60th Street, West New York, NJ 07093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2187932

Domi Healthcare · North Bergen, NJ
Active · expires Jul 9, 2028
CLIA Number31D2187932
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorJonathan M. Dominguez
Laboratory Phone(201) 528-3664
Laboratory LocationDomi Healthcare7919 John F Kennedy Blvd, North Bergen, NJ 07047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Domi Healthcare LLC's NPI number?

The NPI number for Domi Healthcare LLC is 1548891385. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Domi Healthcare LLC located?

Domi Healthcare LLC is located at 7919 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 528-3664.

What is Domi Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Domi Healthcare LLC enrolled in Medicare?

Yes. Domi Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Domi Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Domi Healthcare LLC, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Domi Healthcare LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Domi Healthcare LLC was last updated on August 13, 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.