Dominick Condo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA041384 Issued in NJ

Practice address

622 Broadway
Bayonne, NJ 07002-3821

Phone

(201) 436-2800

Fax

(201) 436-9840

NPI assigned

Sep 29, 2006

Sex

Male

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

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcondo@bayonnemd.gwaydirect.com
• Direct secure messaging: dominick.condo@direct.bayonnemedicalcenter.md

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.

• Dominick Condo, MD PA

  • Internal Medicine Physician
  • Bayonne, NJ
  • NPI 1588764500

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Dominick Condo MD PA

  • Non-Pharmacy Dispensing Site
  • Bayonne, NJ
  • NPI 1770904138
  NPD (past)

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

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143

  Hospital

  Care Compare affiliation
• Amedisys New Jersey LLC

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• Compassionate Care Hospice of Clifton, LLC

  • Community Based Hospice Care Agency
  • Bloomfield, NJ
  • NPI 1245233816

  Hospice

  Care Compare affiliation
• Ijkg Opco LLC

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239

  Hospital

  Care Compare affiliation
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856

  Hospital

  Care Compare affiliation
• Jersey City Medical Center

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation
• Patient Care of Hudson County, LLC

  • Home Health Agency
  • Bayonne, NJ
  • NPI 1831569557
  Care Compare affiliation
• Promise Care of Hudson County LLC

  • Home Health Agency
  • West New York, NJ
  • NPI 1194206516
  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dominick Condo, MD PA 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Bayonne, NJ, CCN 317006
• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Promise Care NJ Home health agency, West New York, NJ, CCN 317064
• Compassionate Care Hospice of Clifton, LLC Hospice, Bloomfield, NJ, CCN 311542
• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
• Overlook Medical Center Hospital, Summit, NJ, CCN 310051
• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1114019692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023821",
            "telephone_number": "201-436-2800",
            "fax_number": "201-436-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023821",
            "telephone_number": "201-436-2800",
            "fax_number": "201-436-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDO",
        "first_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA041384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bayonne, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.