Individual provider Active NPI

Jay Domond

  • Registered Nurse
  • Newburgh, NY
National Provider Identifier
1407768633
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
N51415 Issued in NY
Practice address
3 Chadwick GDNS Apt B23
Newburgh, NY 12550-3436
Phone
(845) 803-3124
NPI assigned
Sep 22, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N51415 NY Primary

Addresses

Primary practice location

3 Chadwick GDNS Apt B23
Newburgh, NY 12550-3436

Mailing address

3 Chadwick GDNS Apt B23
Newburgh, NY 12550-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1407768633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHADWICK GDNS APT B23",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHADWICK GDNS APT B23",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503436",
            "telephone_number": "845-803-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOND",
        "first_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N51415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.