Individual provider Active NPI

Dominic Joseph Maiello, MD

  • Rheumatology Physician
  • Jersey City, NJ
National Provider Identifier
1487628467
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MA40942 Issued in NJ
Practice address
3 Webster Ave
Jersey City, NJ 07307-1824
Phone
(201) 798-2900
Fax
(201) 798-3582
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MA40942 NJ Primary

Addresses

Primary practice location

3 Webster Ave
Jersey City, NJ 07307-1824

Mailing address

3 Webster Ave
Jersey City, NJ 07307-1824
Phone (201) 798-2900

Other identifiers 1

IdentifierTypeStateIssuer
3284808MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000321 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 0143356634 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA40942NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
John P. Neibert M.D.,P.C. Rheumatology Past Accepting new patients
Carl Restivo Jr., M.D., PA Rheumatology PastSince Aug 16, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dominic.maiello@direct.christhospital.md

Organizations & group practices 3

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487628467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEBSTER AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071824",
            "telephone_number": "201-798-2900",
            "fax_number": "201-798-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEBSTER AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071824",
            "telephone_number": "201-798-2900",
            "fax_number": "201-798-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIELLO",
        "first_name": "DOMINIC",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MA40942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3284808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.