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MR. DAVID BUCAO DOMINGO NP
NPI 1770615486
Nurse Practitioner in Ronkonkoma, NY

Active since March 09, 2007
3505 VETERANS MEMORIAL HWY., RONKONKOMA, NY 11779(631) 676-7656(631) 676-7648 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. David Bucao Domingo Np NPPES

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

MR. DAVID BUCAO DOMINGO NP (NPI 1770615486) is an individual nurse practitioner in Ronkonkoma, New York, licensed in New York (F303626) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770615486
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DAVID BUCAO DOMINGOCredential: NP
Location Address3505 VETERANS MEMORIAL HWY.Ronkonkoma, NY 11779
Mailing Address3505 Veterans Memorial Hwy.Ronkonkoma, NY 11779 · (631) 676-7656 · Fax (631) 676-7648
Phone(631) 676-7656
Fax(631) 676-7648
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1770615486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F303626
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3505 VETERANS MEMORIAL HWY., Ronkonkoma, NY 11779
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Other Identifiers 3

Medicare ID-Type Unspecified0818G1NY
Medicaid02662297NY
Medicare UPINQ28360NY

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 David Domingo's NPI number?

The NPI number for David Domingo is 1770615486. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is David Domingo located?

David Domingo practices at 3505 Veterans Memorial Hwy., Ronkonkoma, NY 11779. The listed phone number is (631) 676-7656.

What is David Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for David Domingo was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.