JOSEPH BERNARD DOMACHOWSKE MD
NPI 1720007651
Pediatrics - Pediatric Infectious Diseases in Syracuse, NY

Q: What is Joseph Domachowske's NPI number?

The NPI number for Joseph Domachowske is 1720007651. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Joseph Domachowske's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Active since July 19, 2006PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joseph Bernard Domachowske Md NPPES

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

JOSEPH BERNARD DOMACHOWSKE MD (NPI 1720007651) is an individual pediatric infectious diseases provider in Syracuse, New York, licensed in New York (184725) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720007651

Entity TypeIndividualMale

Primary Taxonomy2080P0208X

Provider Legal NameJOSEPH BERNARD DOMACHOWSKECredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2342

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-1996 · Fax (315) 464-6322

Phone(315) 464-5450

Fax(315) 464-6322

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 27, 2013

✔ NPI 1720007651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in NY · 184725

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

750 E ADAMS ST, Syracuse, NY 13210

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Other Identifiers 3

Medicare UPING54209NY

Medicaid01781680NY

Medicare PINJ400035921NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Bernard Domachowske Md 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.

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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation