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DENNIS DOMOSI
NPI 1568451995
Specialist in Nyack, NY

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
258 HIGH AVE, NYACK, NY 10960(845) 353-1441(845) 353-1987 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dennis Domosi NPPES

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

DENNIS DOMOSI (NPI 1568451995) is an individual specialist in Nyack, New York, licensed in New York (1533681) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1568451995
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDENNIS DOMOSI
Location Address258 HIGH AVENyack, NY 10960-2407
Mailing Address258 High AveNyack, NY 10960-2407 · (845) 353-1441 · Fax (845) 353-1987
Phone(845) 353-1441
Fax(845) 353-1987
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 18, 2005
Last NPPES UpdateApril 9, 2012
✔ NPI 1568451995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1533681
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
258 HIGH AVE, Nyack, NY 10960
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Other Identifiers 17

Other000000075204NY · Ghi Hmo #
Other675E41NY · Empire Bcbs #
Other153368NY · Hip #
Other153368NY · Connecticare #
Other4399282NY · Aetna Ppo #
Medicare PIN36D911NY
OtherDD3368NY · Atlantis Health Plan #
Other363522NY · Taconic Ipa #
Medicaid00945253NY
Other0203731NY · Ghi Ppo #
Other0888254NY · Aetna Hmo #
Medicare UPINA62508NY
Other0D3068NY · Healthnet #
OtherP3098499NY · Oxford #
Other363522NY · Mvp #
Other230544NY · Wellcare #
Other100004101NY · Affinity Health Plan #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dennis Domosi 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 ID5496720369
PECOS Enrollment IDI20040902000074
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 Reassignments

3

Medicare enrollment records show Dennis Domosi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Nyack Hospital
0.2 mi
Neurology
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1073881835 (845) 348-6607
White Plains Medical Diagnostic Services, PC
0.2 mi
Internal Medicine
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
NPI 1689955338 (845) 348-2000
New York City Health And Hospitals Corporation
15 mi
General Acute Care Hospital
3424 KOSSUTH AVE
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1023024882 (718) 918-3677

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 16

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

MS. DEBORAH TELEM CRNP
Nurse Practitioner (Women's Health)
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 353-1441
JONATHAN JAKUS MD
Obstetrics & Gynecology
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 353-1441
JONATHAN J. JAKUS, M.D., P.C.
Specialist
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 353-1441
MRS. JESSICA ROSE DOWD CNM
Advanced Practice Midwife
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 353-1441
MRS. STEFANIE FERRARO CNM
Advanced Practice Midwife
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 353-1441
CHRISTOPHER ISSA SAYEGH MD
Urology
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 600-4876
MS. DELFINA MARGALLI CNM
Midwife
258 HIGH AVE
NYACK, NY 10960
Rockland County (845) 348-2550
AMANDA S CHAPIN CNM
Midwife
258 HIGH AVE, HUDSON CENTER FOR WOMEN'S HEALTH
NYACK, NY 10960
Rockland County (845) 353-1441

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 Dennis Domosi's NPI number?

The NPI number for Dennis Domosi is 1568451995. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Dennis Domosi located?

Dennis Domosi practices at 258 High Ave, Nyack, NY 10960. The listed phone number is (845) 353-1441.

What is Dennis Domosi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dennis Domosi enrolled in Medicare?

Yes. Dennis Domosi 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.

Which organizations bill Medicare for Dennis Domosi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Domosi reassigns Medicare benefits to 3 organizations: Montefiore Nyack Hospital (Nyack, NY), White Plains Medical Diagnostic Services, PC (Nyack, NY) and New York City Health And Hospitals Corporation (Bronx, NY). Each 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 Dennis Domosi'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 Dennis Domosi was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.