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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DOMONIQUE SHANTELL CAMPBELL-WILSON
NPI 1831004639
Nurse Practitioner - Family in Wyckoff, NJ

Active since August 17, 2026
303 FRANKLIN AVE, WYCKOFF, NJ 07481(201) 891-6660 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Aug 17, 2026 (2 updates tracked since 2026).

About Domonique Shantell Campbell-wilson NPPES

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

DOMONIQUE SHANTELL CAMPBELL-WILSON (NPI 1831004639) is an individual family provider in Wyckoff, New Jersey, licensed in New Jersey (26NJ15689200) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1831004639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMONIQUE SHANTELL CAMPBELL-WILSON
Location Address303 FRANKLIN AVEWyckoff, NJ 07481-2095
Mailing Address303 Franklin AveWyckoff, NJ 07481-2095 · (201) 891-6660
Phone(201) 891-6660
Sole ProprietorYes
Enumeration DateAugust 17, 2026
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1831004639 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 NJ · 26NJ15689200
303 FRANKLIN AVE, Wyckoff, NJ 07481
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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.

SHANNON STAHLER
Pharmacist
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
MRS. NICKESHA LATOYA RITCHIE APN-C
Nurse Practitioner (Family)
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
DEBORAH WEN ALT NP
Nurse Practitioner (Family)
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
HELEN HANNA BENJAMIN
Pharmacist
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
MAEN IBRAHIM ABU GHAREIBEH PHARMD
Pharmacist
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
MRS. DEBRA MARIA SACCO FNP-C
Nurse Practitioner (Family)
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
MRS. JENNIFER M GALAN APN-BC
Nurse Practitioner (Family)
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660
MS. LORETTA MARIE AGIS RN, APN.C
Nurse Practitioner (Family)
303 FRANKLIN AVE
WYCKOFF, NJ 07481
Bergen County (201) 891-6660

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 Domonique Campbell-wilson's NPI number?

The NPI number for Domonique Campbell-wilson is 1831004639. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Domonique Campbell-wilson located?

Domonique Campbell-wilson practices at 303 Franklin Ave, Wyckoff, NJ 07481. The listed phone number is (201) 891-6660.

What is Domonique Campbell-wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Domonique Campbell-wilson was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.