Dominick Ligresti I, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

152405-1 Issued in NY

Practice address

175 Franklin Ave Ste 103
Nutley, NJ 07110-2973

Phone

(973) 759-6569

Fax

(973) 759-2562

NPI assigned

Jul 13, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, NJ2 enrollments

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 2

Specialty

Dermatology

Education

Icahn School of Medicine at Mount Sinai, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Ligresti Dermatology Associates PA

  • Dermatology Physician
  • Belleville, NJ
  • NPI 1710031919
  Medicare reassignment NPD Authorized official
• Park Avenue Dermatology, PC

  • Specialist
  • Staten Island, NY
  • NPI 1730393042
  Medicare reassignment NPD Authorized official
• Vision Eye Physicians and Surgeons LLC

  • Specialist
  • Belleville, NJ
  • NPI 1831397843
  NPD (past)
• Park Avenue Dermatology

  • Legal Medicine
  • Staten Island, NY
  • NPI 1447642103
  NPD (past)
• Sherman Medical Care, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1467718247
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598780991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TIOGA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014329",
            "telephone_number": "718-981-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE STE 103",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102973",
            "telephone_number": "973-759-6569",
            "fax_number": "973-759-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Tioga St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103014329",
            "country_code": "US",
            "telephone_number": "718-981-5040",
            "fax_number": "718-981-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGRESTI",
        "first_name": "DOMINICK",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "152405-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.