John Stanley Dominski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01737600 Issued in NJ

Practice address

376 Lafayette Rd Ste 105
Sparta, NJ 07871-3560

Phone

(973) 579-3027

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1285152728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GREEN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713030",
            "telephone_number": "973-600-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 LAFAYETTE RD STE 105",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713560",
            "telephone_number": "973-579-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINSKI",
        "first_name": "JOHN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01737600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Dimitrovski, LCSW, LCADC
• Raymond Paul Dipaolo, MD
• Mariella Disturco
• DJB Counseling LLC
• Mary Ellen Dolan, MSN,RN, APRN, GNP-BC
• Nicoletta Z Donati, BS PHARMACY
• Shelley Marie Doyle, MA, LPC
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy of New Jersey LLC
• Gail Drennan

• Physical Therapist in Sparta, NJ
• Providers in Sparta, 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 Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.