Dominion Healthcare Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOMINION HEALTHCARE CLINIC LLC

Practice address

6536 Woodland Ave
Philadelphia, PA 19142-2215

Phone

(484) 402-1660

Fax

(856) 935-9123

NPI assigned

Apr 1, 2025

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernadett Alfred, APNNPI 1053936682

Title

Nurse Practitioner

Phone

(484) 402-0166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernadett Alfred, CRNP

  • Family Nurse Practitioner
  • Salem, NJ
  • NPI 1053936682

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1699579581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BANTRY ST",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853190",
            "telephone_number": "484-402-0166",
            "fax_number": "856-935-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422215",
            "telephone_number": "484-402-1660",
            "fax_number": "856-935-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ALFRED",
        "authorized_official_first_name": "BERNADETT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "484-402-0166",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Dominguez
• Lourdes Dominguez, BA
• Martin Dominguez, M.D., PH.D.
• Courtney Michele Dominic, D.O.
• Gaeten J Dominic, RNFA
• Dominion Home Care Services, LLC
• Sarah Lynn Domino, RD, LDN
• Robert W Doms, MD
• Lauren Peloquin Donaghue, MD
• Eileen Beth Donaghy, CRNP

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.