Melchor Torres Domingo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

211167 Issued in NY

Practice address

103 E Burnside Ave
Bronx, NY 10453-4142

Phone

(718) 367-9030

Fax

(718) 561-6126

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HACGAA/Endpoint/HACGAA

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114013547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534142",
            "telephone_number": "718-367-9030",
            "fax_number": "718-561-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534142",
            "telephone_number": "718-367-9030",
            "fax_number": "718-561-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "MELCHOR",
        "middle_name": "TORRES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "211167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domenick F. D'Angelica
• Juliana Domfeh
• Priscilla Domfeh
• Dominance Skin Care, Corp
• Eduardo Domingo, RN
• Michelle C Domingo, NP
• Rodellee Valdez Domingo
• Rui Barreira Domingues, M.D.
• Edwin A Dominguez Almonte, M.D
• Odeilis Maxiel Dominguez Amadiz, MD

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.