Gregory S Domer, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA07250800 Issued in NJ

Practice address

3735 Nazareth Rd Ste 206
Easton, PA 18045-8346

Phone

(484) 503-8281

Fax

(833) 866-5612

NPI assigned

Apr 25, 2006

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deborah Cardiovascular Group, P.C.

  dba Advanced Heart, Lung and Vascular Care

  • Specialist
  • Browns Mills, NJ
  • NPI 1821041732
  Medicare reassignment Care Compare group NPD
• Professional Service Fund of Deborah Heart & Lung Center

  • Specialist
  • Browns Mills, NJ
  • NPI 1407803596
  Medicare reassignment Care Compare group NPD
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Star Community Health, Inc

  • General Practice Physician
  • Bethlehem, PA
  • NPI 1033686159
  Medicare reassignment NPD
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608

  Vascular Surgery

  Medicare reassignment NPD
• St. Luke's Warren Physician Group, PC

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
  • NPI 1467725184
  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba Fountain Hill Medical Associates

  • Internal Medicine Physician
  • Quakertown, PA
  • NPI 1861556706
  NPD
• Star Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
  • NPI 1942832720
  NPD
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Professional Service Fund of Deborah- Anesthesia

  • Specialist
  • Browns Mills, NJ
  • NPI 1902852015
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• Deborah Heart and Lung Center

  • General Acute Care Hospital
  • Browns Mills, NJ
  • NPI 1467440743
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1003872474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-503-8281",
            "fax_number": "833-816-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD STE 206",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458346",
            "telephone_number": "484-503-8281",
            "fax_number": "833-866-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Blvd",
            "address_2": "Suite 233",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "PA",
            "postal_code": "19013",
            "country_code": "US",
            "telephone_number": "610-499-0400",
            "fax_number": "610-499-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMER",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD427177",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07250800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101443016 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas D Ditmars
• Allison Dobias
• Neha Sudheer Doddipalli, MD
• Emily Doll, M.A. M.S. CCC-SLP/L
• Phillip Dombrovskiy, DDS
• Donald R Schinstine DMD PC
• Willie Dong, MD
• Sanford Dorman, MD
• Jennifer Dorsey, OTR
• Marcia Lisa Dorsey, CRNP

• Vascular Surgery Physician in Easton, PA
• Providers in Easton, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.