1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

MRS. GRACE RITA R DOMINGO NP
NPI 1689742694
Nurse Practitioner - Family in New York, NY

Active since November 30, 2006PECOS Enrolled
530 1ST AVE # SKI-9R, LEON H CHARNEY DIVISION OF CARDIOLOGY, NEW YORK, NY 10016(212) 263-8177(212) 263-3988 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Grace Rita R Domingo Np NPPES

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

MRS. GRACE RITA R DOMINGO NP (NPI 1689742694) is an individual family provider in New York, New York, licensed in New York (334785-1) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689742694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GRACE RITA R DOMINGOCredential: NP
Location Address530 1ST AVE # SKI-9R, LEON H CHARNEY DIVISION OF CARDIOLOGYNew York, NY 10016-6402
Mailing Address530 1st Ave, Ski-9rNew York, NY 10016-6497 · (212) 263-8177 · Fax (212) 263-3988
Phone(212) 263-8177
Fax(212) 263-3988
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 12, 2011
✔ NPI 1689742694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 334785-1
530 1ST AVE # SKI-9R, New York, NY 10016
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Grace R Domingo Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Grace Rita R Domingo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Grace Rita Domingo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nyu Langone Hospitals
Same address
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110
New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Grace Rita Domingo's NPI number?

The NPI number for Grace Rita Domingo is 1689742694. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Mrs. Grace R Domingo Np.

Where is Grace Rita Domingo located?

Grace Rita Domingo practices at 530 1st Ave # Ski-9r Leon H Charney Division Of Cardiology, New York, NY 10016. The listed phone number is (212) 263-8177.

What is Grace Rita Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Rita Domingo enrolled in Medicare?

Yes. Grace Rita Domingo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Rita Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Rita Domingo reassigns Medicare benefits to 2 organizations: Nyu Langone Hospitals (New York, NY) and New York University (Boynton Beach, FL). 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 Grace Rita Domingo'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 Grace Rita Domingo was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.