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DR. CONNIE D DOMINGO MD
NPI 1902896889
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Marlton, NJ

Active since October 24, 2005PECOS Enrolled
92 BRICK RD, 3RD FLOOR, MARLTON, NJ 08053(856) 489-4520(856) 983-1065 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 21, 2026, Feb 27, 2017, Jan 9, 2017 (3 updates tracked since 2017).

About Dr. Connie D Domingo Md NPPES

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

DR. CONNIE D DOMINGO MD (NPI 1902896889) is an individual pediatric rehabilitation medicine provider in Marlton, New Jersey, licensed in New Jersey (25MA06376400) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1902896889
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameDR. CONNIE D DOMINGOCredential: MD
Location Address92 BRICK RD, 3RD FLOORMarlton, NJ 08053-2177
Mailing AddressPo Box 674Marlton, NJ 08053-0674 · (856) 489-4520 · Fax (856) 983-1065
Phone(856) 489-4520
Fax(856) 983-1065
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 24, 2005
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1902896889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
Licenses✔ Licensed in NJ · 25MA06376400✔ Licensed in NM · MD2026-0032
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
92 BRICK RD, Marlton, NJ 08053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connie D Domingo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476837386
PECOS Enrollment IDI20260318001771
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

2

Medicare enrollment records show Connie Domingo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
15 mi
Anesthesiology
3551 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 83 clinicians in this Medicare group
NPI 1023506276 (215) 430-4000
Unm Medical Group Inc
1,764 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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

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.

MRS. DEANA MARIE ERCOLANI PT
Physical Therapist
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-8778
LUKE GALLAGHER PT, DPT
Physical Therapist
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-8778
DONALD T WU M.D.
Physical Medicine & Rehabilitation
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 281-3590
MARIZITA T SEHER, PSYD, LIMITED LIABILITY COMPANY
Psychologist
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-4124
MRS. MARIANNE CATHERINE GARCYNSKI PT
Contractor
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-8700
WU REHABILITATION ASSOCIATES LLC
Physical Medicine & Rehabilitation
92 BRICK RD
MARLTON, NJ 08053
Burlington County (732) 281-3590
GRACE COLEMAN PT, DPT
Physical Therapist
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-8778
KAREN B DAVENPORT PH.D.
Clinical Neuropsychologist
92 BRICK RD
MARLTON, NJ 08053
Burlington County (856) 988-4127

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 Connie Domingo's NPI number?

The NPI number for Connie Domingo is 1902896889. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Connie Domingo located?

Connie Domingo practices at 92 Brick Rd 3rd Floor, Marlton, NJ 08053. The listed phone number is (856) 489-4520.

What is Connie Domingo's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Connie Domingo enrolled in Medicare?

Yes. Connie Domingo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Connie Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Domingo reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Philadelphia, PA) and Unm Medical Group Inc (Albuquerque, NM). 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 Connie Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Domingo accept?

Health plans from AmeriHealth Caritas Next, CareSource and Oscar Health list Connie Domingo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connie Domingo was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.