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DR. MARIE ANNETTE DOMINGO M.D.
NPI 1801834429
Anesthesiology - Pain Medicine in Warren, NJ

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
172 WASHINGTON VALLEY RD STE 5, WARREN, NJ 07059(201) 956-9364 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Mar 16, 2021, Apr 26, 2017 (3 updates tracked since 2017).

About Dr. Marie Annette Domingo M.d. NPPES

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

DR. MARIE ANNETTE DOMINGO M.D. (NPI 1801834429) is an individual pain medicine provider in Warren, New Jersey, licensed in New Jersey (MA07159300) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1801834429
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. MARIE ANNETTE DOMINGOCredential: M.D.
Location Address172 WASHINGTON VALLEY RD STE 5Warren, NJ 07059-7178
Mailing Address513 Clinton AveWyckoff, NJ 07481-1405 · (201) 956-9364
Phone(201) 956-9364
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1801834429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NJ · MA07159300
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MA07159300 (NJ)
172 WASHINGTON VALLEY RD STE 5, Warren, NJ 07059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marie Annette Domingo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951397405
PECOS Enrollment IDI20040421001255
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

4

Medicare enrollment records show Marie Domingo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bay Anesthesia LLC
14 mi
Anesthesiology
561 CRANBURY RD
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 121 clinicians in this Medicare group
NPI 1063151546 (201) 847-8079
Canj Anesthesia LLC
25 mi
Anesthesiology
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 131 clinicians in this Medicare group
NPI 1881353662 (718) 550-8600
Specialty Surgical Center, LLC
32 mi
Anesthesiology
380 LAFAYETTE RD, SUITE 110
Sparta, NJ 07871
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1821398199 (973) 940-3166
Centurion Anesthesia Surgical Centers LLC
40 mi
Anesthesiology
811 WILSON ST
Valley Stream, NY 11581
  • Reassigned Medicare billing, New Jersey enrollment
  • 124 clinicians in this Medicare group
NPI 1326707100 (718) 550-8600

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

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 Marie Domingo's NPI number?

The NPI number for Marie Domingo is 1801834429. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Marie Domingo located?

Marie Domingo practices at 172 Washington Valley Rd Ste 5, Warren, NJ 07059. The listed phone number is (201) 956-9364.

What is Marie Domingo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Marie Domingo enrolled in Medicare?

Yes. Marie Domingo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marie Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Domingo reassigns Medicare benefits to 4 organizations: Bay Anesthesia LLC (East Brunswick, NJ), Canj Anesthesia LLC (Secaucus, NJ), Specialty Surgical Center, LLC (Sparta, NJ) and Centurion Anesthesia Surgical Centers LLC (Valley Stream, NY). 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 Marie 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 Marie Domingo was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.