Joselito B. Domingo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06012200 Issued in NJ

Practice address

59 Koch Ave
Morris Plains, NJ 07950-4400

Phone

(973) 538-1800

NPI assigned

Dec 11, 2006

Last updated

Jan 10, 2011By 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

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Oaks Hospital IncGroup PAC ID 8628047685, 12 clinicians

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  Medicare reassignment Care Compare group NPD
• Summit Oaks Hospital Inc

  • Psychiatric Hospital
  • Summit, NJ
  • NPI 1205880200
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1609936806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KOCH AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079504400",
            "telephone_number": "973-588-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KOCH AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079504400",
            "telephone_number": "973-538-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "JOSELITO",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06012200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NO.",
            "identifier": "887864C2E",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Demarco
• Dana C Depasquale, BCBA
• Kelly Elizabeth Deriggi
• Julia Di Clemente
• Angela Dikengil, MS, CCC/SLP
• Olufemi A Dosunmu, P.T
• Dr. Reena a. Patel
• Drug Fair Group, Inc. (Drug Fair of Morris Plains 53)
• Michael G. Dudak, O.D.
• Dara Allison Dwojewski Jarrett, LPC, LCADC

• Psychiatry Physician in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.