Jed Marie Dominguez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01782600 Issued in NJ

Practice address

701 State RT 440 Ste 21
Jersey City, NJ 07304-1069

Phone

(201) 315-9859

NPI assigned

Mar 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069
  NPD
• Holsman Physical and Occupational Therapy, PC

  • Geriatric Physical Therapist
  • Rahway, NJ
  • NPI 1114276441
  NPD
• Holsman Physical Therapy and Wellness PC

  • Geriatric Physical Therapist
  • Cedar Grove, NJ
  • NPI 1578816179
  NPD
• Home Therapy, LLC

  • Geriatric Physical Therapist
  • Clifton, NJ
  • NPI 1295962835
  NPD

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1063916971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROSE CT FL 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "201-315-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JED MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01782600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctor'S Medical Clinic PA
• Divya Dodhia, LCSW
• Tanvi Dodia, LAC
• Donna Doherty
• Allison Rose Dolan, DNP, APN-CRNA
• Natalia Dominguez, PA-C
• Christopher Donoso, M.S. CCC-SLP
• Lara Margaret Dorfman, CCC-SLP
• Gianne Doria, RN, NP-C
• Doris Ruiz

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.