DOMINICK CONDO, MD PA
NPI 1588764500
Internal Medicine in Bayonne, NJ
About Dominick Condo, Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINICK CONDO, MD PA (NPI 1588764500), doing business as Simone & Condo, Pa, is a healthcare organization registered as an internal medicine in Bayonne, New Jersey and active in the NPI registry since September 2006. The organization lists Dominick Condo, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 8
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominick Condo, Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dominick Condo, MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Dominick Condo, MD PA's NPI number?
The NPI number for Dominick Condo, MD PA is 1588764500. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider was formerly known as Simone & Condo, PA.
Where is Dominick Condo, MD PA located?
Dominick Condo, MD PA is located at 622 Broadway, Bayonne, NJ 07002. The listed phone number is (201) 436-2800.
What is Dominick Condo, MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dominick Condo, MD PA enrolled in Medicare?
Yes. Dominick Condo, MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominick Condo, MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Dominick Condo, MD PA. 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 Internal Medicine (3) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dominick Condo, MD PA was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dominick Condo, Md Pa · NPI 1588764500
Internal Medicine organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1588764500 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Dominick Condo, MEDICAL DIRECTOR
## Practice location
- **Address:** 622 BROADWAY, Bayonne, NJ 07002-3821
- **Phone:** (201) 436-2800 · **Fax:** (201) 436-9840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2010
- **Other identifiers:** Other 70970 (NJ); Other 1K6533 (NJ); Medicare UPIN D07215 (NJ); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1588764500) · Data from the CMS NPPES public registry.