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JACOB MAURO DOMINGUEZ LPN
NPI 1982122628
Licensed Practical Nurse in Bronx, NY

Active since September 01, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017 (2 updates tracked since 2017).

About Jacob Mauro Dominguez Lpn NPPES

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

JACOB MAURO DOMINGUEZ LPN (NPI 1982122628) is an individual licensed practical nurse in Bronx, New York, licensed in New York (329762) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1982122628
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJACOB MAURO DOMINGUEZCredential: LPN
Location Address223 BROOK AVBronx, NY 10454
Mailing Address223 Brook AveBronx, NY 10454-4106 · (718) 541-5218
Phone(718) 541-5218
Sole ProprietorNo
Enumeration DateSeptember 1, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982122628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 329762
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
223 BROOK AV, Bronx, NY 10454
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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 Jacob Dominguez's NPI number?

The NPI number for Jacob Dominguez is 1982122628. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Jacob Dominguez located?

Jacob Dominguez practices at 223 Brook Av, Bronx, NY 10454. The listed phone number is (718) 541-5218.

What is Jacob Dominguez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacob Dominguez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.