Marlen Dominguez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01957900 Issued in NJ

Practice address

6050 Kennedy Blvd E
Suite LF
West New York, NJ 07093-3901

Phone

(201) 453-2300

Fax

(201) 453-2233

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245451368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 KENNEDY BLVD E",
            "address_2": "SUITE LF",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933901",
            "telephone_number": "201-453-2300",
            "fax_number": "201-453-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 KENNEDY BLVD E",
            "address_2": "SUITE LF",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933901",
            "telephone_number": "201-453-2300",
            "fax_number": "201-453-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MARLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01957900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agustin Diaz, MD
• Sarah Elizabeth Dibble, DDS
• Maria Giuseppina Dibiase, APN-C
• Marysol Diego, RPH, PHARMD
• Ileana Dominguez, PHARM D.
• Walter Donach, O.D.
• Ann C Donoghue, M.S.
• Nataliya Donskaya, D.D.S.
• Dr Miguel a Gonzalez DDS PA
• Dream Smile Dental PC

• Dentist in West New York, NJ
• Providers in West New York, NJ by specialty
• Dentist in New Jersey

• 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.