MRS. CAROLYN G DOMBROWSKI NPP
NPI 1710105275
Nurse Practitioner - Psychiatric/Mental Health in Woodbury, NY

Active since April 23, 2007Opted out of Medicare · through Feb 3, 2028
7600 JERICHO TPKE # C-206, WOODBURY, NY 11797(917) 620-3704 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carolyn G Dombrowski Npp NPPES

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

MRS. CAROLYN G DOMBROWSKI NPP (NPI 1710105275) is an individual psychiatric/mental health provider in Woodbury, New York, licensed in New York (F400497) and active in the NPI registry since April 2007. She has opted out of Medicare through February 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710105275
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CAROLYN G DOMBROWSKICredential: NPP
Location Address7600 JERICHO TPKE # C-206Woodbury, NY 11797-1728
Mailing Address1231 Allen DrSeaford, NY 11783-1702
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1710105275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F400497
7600 JERICHO TPKE # C-206, Woodbury, NY 11797

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Carolyn G Dombrowski Npp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2016 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2016
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11797 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Carolyn Dombrowski's NPI number?

The NPI number for Carolyn Dombrowski is 1710105275. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Carolyn Dombrowski located?

Carolyn Dombrowski practices at 7600 Jericho Tpke # C-206, Woodbury, NY 11797. The listed phone number is (917) 620-3704.

What is Carolyn Dombrowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carolyn Dombrowski enrolled in Medicare?

No. Carolyn Dombrowski has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carolyn Dombrowski was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.