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JUSTIN DOMINGO MD
NPI 1689316499
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Active since April 12, 2022
100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-1619 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Justin Domingo Md NPPES

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

JUSTIN DOMINGO MD (NPI 1689316499) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1689316499
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN DOMINGOCredential: MD
Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450
Mailing Address1257 Judy RdMohegan Lake, NY 10547-1904
Phone(484) 476-1619
Sole ProprietorNo
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1689316499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E LANCASTER AVE, Wynnewood, PA 19096
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Other Providers at the Same Location NPPES 20

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

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Justin Domingo's NPI number?

The NPI number for Justin Domingo is 1689316499. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Justin Domingo located?

Justin Domingo practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-1619.

What is Justin Domingo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Domingo was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.