NPIMap

Individual provider Active NPI

Amy Marie Domanski, APN

  • Family Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1710326442
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00444600 Issued in NJ
Practice address
755 Memorial Pkwy Ste 302
Phillipsburg, NJ 08865-2771
Phone
(908) 847-6722
NPI assigned
Jun 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027591 PA
Family Nurse Practitioner 363LF0000X 26NJ00444600 NJ Primary

Addresses

Primary practice location

755 Memorial Pkwy Ste 302
Phillipsburg, NJ 08865-2771

Mailing address

418 Daniel Dr
Stewartsville, NJ 08886-3204
Phone (908) 208-2168

Other practice location 1

1581 N 9th St Ste 101
Stroudsburg, PA 18360-7531
Phone (272) 721-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220910000010 NJ Practitioner - Nurse Practitioner 9133423734 Reassigns benefits to 2 organizations
I20230608002697 PA Practitioner - Nurse Practitioner 9133423734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

755 Memorial Pkwy
Suite 302
Phillipsburg, NJ 08865-2771
Phone (908) 847-6722

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 23, 2023 Accepting new patients
Ennoble HC NJ PC CurrentSince Jul 19, 2022 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince May 19, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 23, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince May 19, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

755 Memorial Pkwy
Ste 302A
Phillipsburg, NJ 08865
Phone (908) 847-2050

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

1581 N 9th St
Ste 101
Stroudsburg, PA 18360
Phone (272) 721-2062

120 Pine St
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • Direct secure messaging: amy.domanski@slpg.direct-sluhn.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1710326442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 DANIEL DR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088863204",
            "telephone_number": "908-208-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 302",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652771",
            "telephone_number": "908-847-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1581 N 9th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183607531",
            "country_code": "US",
            "telephone_number": "272-721-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMANSKI",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00444600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.