Active NPI
Jason Domingo, MSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1346791795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 20 Rich St
Buffalo, NY 14211-3020 - Phone
- (716) 895-7715
- NPI assigned
- Oct 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
20 Rich St
Buffalo, NY 14211-3020
Mailing address
255 Delaware Ave Ste 300
Buffalo, NY 14202-2017
Phone (716) 842-0440
Other practice location 1
20 Rich St
Buffalo, NY 14211-3020
Phone (716) 895-7715
Other practice location 2
3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestself Behavioral Health, Inc. | Past | Accepting new patients | |
| Catholic Charities of Buffalo | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Orchard Park, NY
- NPI 1891907507
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1346791795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 DELAWARE AVE STE 300",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142022017",
"telephone_number": "716-842-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 RICH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142113020",
"telephone_number": "716-895-7715"
}
],
"practiceLocations": [
{
"address_1": "20 Rich St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142113020",
"country_code": "US",
"telephone_number": "716-895-7715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3176 Abbott Rd Unit 500",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271069",
"country_code": "US",
"telephone_number": "716-822-2117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGO",
"first_name": "JASON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-20",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.