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MARYANNA DOMENIC APN
NPI 1891524237
Nurse Practitioner - Psychiatric/Mental Health in Chester, NJ

Active since August 01, 2024
45 PERRY ST UNIT 2, CHESTER, NJ 07930(908) 315-9913(973) 494-5213 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Mar 4, 2025, Aug 1, 2024 (3 updates tracked since 2024).

About Maryanna Domenic Apn NPPES

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

MARYANNA DOMENIC APN (NPI 1891524237), doing business as Domenic Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Chester, New Jersey and active in the NPI registry since August 2024. The organization lists Maryanna Vrettos Domenic, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1891524237
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMARYANNA DOMENIC APN
Location Address45 PERRY ST UNIT 2Chester, NJ 07930-3604
Mailing Address45 Perry St Unit 2Chester, NJ 07930-3604 · (908) 315-9913 · Fax (973) 494-5213
Phone(908) 315-9913
Fax(973) 494-5213
Organization SubpartNo
Authorized OfficialMaryanna Vrettos DomenicPsychiatric Nurse Practitioner · (908) 315-9913
Enumeration DateAugust 1, 2024
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1891524237 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
45 PERRY ST UNIT 2, Chester, NJ 07930
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Other Names 1

Doing Business AsDomenic Psychiatry

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryanna Domenic Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maryanna Domenic Apn, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maryanna Domenic
Nurse Practitioner
NPI 1689306433
45 PERRY ST UNIT 2
Chester, NJ 07930
(908) 315-9913
✔ PECOS✔ Accepts MedicareSame address

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 Maryanna Domenic Apn's NPI number?

The NPI number for Maryanna Domenic Apn is 1891524237. It was assigned to this organization in the NPPES registry on August 1, 2024. The provider is doing business as Domenic Psychiatry.

Where is Maryanna Domenic Apn located?

Maryanna Domenic Apn is located at 45 Perry St Unit 2, Chester, NJ 07930. The listed phone number is (908) 315-9913.

What is Maryanna Domenic Apn's specialty?

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

Is Maryanna Domenic Apn enrolled in Medicare?

Yes. Maryanna Domenic Apn is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryanna Domenic Apn?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Maryanna Domenic Apn. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maryanna Domenic Apn was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.