Individual provider Active NPI

Mingmar Doma Sherpa

  • Family Nurse Practitioner
  • Ridgewood, NY
National Provider Identifier
1366097719
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344775-01 Issued in NY
Practice address
6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone
(718) 497-1919
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344775-01 NY Primary

Addresses

Primary practice location

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261

Mailing address

68-60 Austin Street, Store# 10
Forest Hills, NY 11375-4245
Phone (718) 997-7100

Other practice location 1

68-60 Austin Street, Store# 10
Forest Hills, NY 11375-4245
Phone (718) 997-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925003143 NY Practitioner - Nurse Practitioner 6507196060 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians

Practice addresses (Care Compare)

6860 Austin St
Forest Hills, NY 11375-4245
Phone (718) 997-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344775-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Apr 1, 2025 Accepting new patients
Amb Medical Services, P.C. CurrentSince Aug 6, 2019 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince May 1, 2024 Accepting new patients
Ajay 28 LLC CurrentSince May 1, 2025 Accepting new patients

Locations

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

16403 Hillside Ave
#1
Jamaica, NY 11432
Phone (347) 771-8473

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1366097719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-60 AUSTIN STREET, STORE# 10",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "718-997-7100",
            "fax_number": "718-997-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853261",
            "telephone_number": "718-497-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68-60 Austin Street, Store# 10",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754245",
            "country_code": "US",
            "telephone_number": "718-997-7100",
            "fax_number": "718-997-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERPA",
        "first_name": "MINGMAR",
        "middle_name": "DOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344775-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.