Individual provider Active NPI

Gabriela Dominguez, PA-C

  • Physician Assistant
  • West Orange, NJ
National Provider Identifier
1376425249
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
347 Mount Pleasant Ave Ste 103
West Orange, NJ 07052-2745
Phone
(973) 434-1426
Fax
(973) 498-0535
NPI assigned
Jul 22, 2025
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

347 Mount Pleasant Ave Ste 103
West Orange, NJ 07052-2745

Mailing address

347 Mount Pleasant Ave Ste 103
West Orange, NJ 07052-2745
Phone (973) 434-1426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250822002275 NY Practitioner - Physician Assistant 4486154531 Reassigns benefits to 1 organization
I20251222001962 NJ Practitioner - Physician Assistant 4486154531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2745
Phone (973) 571-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034114NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Nov 25, 2025 Accepting new patients

Locations

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

88 Park Ave
Ste 2A
Nutley, NJ 07110
Phone (973) 434-1402

347 Mount Pleasant Ave
Ste 103
West Orange, NJ 07052

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Networks

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

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

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1376425249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 103",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-434-1426",
            "fax_number": "973-498-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 103",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-434-1426",
            "fax_number": "973-498-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "GABRIELA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.