MARYANNA VRETTOS DOMENIC
NPI 1689306433
Nurse Practitioner - Psychiatric/Mental Health in Chester, NJ
About Maryanna Vrettos Domenic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYANNA VRETTOS DOMENIC (NPI 1689306433) is an individual psychiatric/mental health provider in Chester, New Jersey, licensed in New Jersey (26NJ15070600) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Princeton, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Maryanna Vrettos Domenic 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESTER, NJ 07930
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 Maryanna Domenic's NPI number?
The NPI number for Maryanna Domenic is 1689306433. It was assigned to this individual provider in the NPPES registry on June 29, 2022.
Where is Maryanna Domenic located?
Maryanna Domenic practices at 45 Perry St Unit 2, Chester, NJ 07930. The listed phone number is (908) 315-9913.
What is Maryanna Domenic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Maryanna Domenic enrolled in Medicare?
Yes. Maryanna Domenic 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 Maryanna Domenic was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Maryanna Vrettos Domenic · NPI 1689306433
Psychiatric/Mental Health physician in Chester, New Jersey. Individual provider, active in the CMS NPPES registry since June 29, 2022.
## Identity
- **NPI:** 1689306433 (Entity type: Individual)
- **Enumerated:** June 29, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15070600 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 45 PERRY ST UNIT 2, Chester, NJ 07930-3604
- **Phone:** (908) 315-9913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689306433) · Data from the CMS NPPES public registry.