Robert Domingo, PHD. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003834-1 Issued in NY

Practice address

399 Conklin St
Farmingdale, NY 11735-2614

Phone

(516) 249-5477

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Adults and Children With Learning and Developmental Disabilities, Inc.

  • Developmental Disabilities Clinic/Center
  • Bethpage, NY
  • NPI 1730194408
  Medicare reassignment NPD
• Adults and Children With Learning and Developmental Disabilites, Inc.

  • Developmental Disabilities Clinic/Center
  • Bethpage, NY
  • NPI 1265674303
  NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477629558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALEXANDER AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117351603",
            "telephone_number": "631-293-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352614",
            "telephone_number": "516-249-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PHD. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003834-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leighton George Dingwall Sr.
• Lauren Discala
• Khaira S Disla, LPN
• Lisa Dolce, MS.ED
• Joanna Dombal
• Jing Dong
• Mark Donnelly, L.AC., MS
• Cindy Bichebara Dorsainvil
• Amanda Rose Doty, PA-C
• Raquel Downing

• Speech-Language Pathologist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.