Robert Dominguez, CLINICAL SOCIAL WORK

Primary specialty

Social WorkerTaxonomy code 104100000X

License

06223601 Issued in NY

Practice address

41D Edgewater Park
Bronx, NY 10465-3509

Phone

(914) 663-7201

Fax

(914) 663-7203

NPI assigned

Oct 28, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1841954534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CHARTER CIR",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105626012",
            "telephone_number": "347-234-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41D EDGEWATER PARK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653509",
            "telephone_number": "914-663-7201",
            "fax_number": "914-663-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "06223601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene B Dominguez, RDH
• Martha Dominguez
• Mary Joelanny Dominguez, M.D.
• Michelle Frances Dominguez, MD
• Minnelly Dominguez
• Sandra Damaris Dominguez
• Sherilyn Amil Dominguez
• Yajaira Dominguez
• Veronica Dominic-Boucher
• Dominick Senzamici DC PC

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.