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

Q: 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.

Q: What is Domi Healthcare LLC's specialty?

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

Active since January 30, 2020

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: August 16, 2026.

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

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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 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

CLIA Laboratory Certificates CMS CLIA

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 31D2187932

Domi Healthcare · North Bergen, NJ

Expired · Jul 9, 2026

CLIA Number31D2187932

Laboratory TypePhysician Office

Certificate Effective DateJuly 10, 2024

Certificate Expiration DateJuly 9, 2026

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.

Other Providers at the Same Location NPPES 5

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

KIMBERLY HERNANDEZ OQUENDO MD

Family Medicine