Individual provider Active NPI

Dominika Obrien, APRN, FNP-BC

  • Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1861071797
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NR1958830 Issued in NJ
Practice address
100 Old Marlton Pike W
Marlton, NJ 08053
Phone
(856) 393-2440
NPI assigned
Apr 7, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NR1958830 NJ Primary
Registered Nurse 163W00000X RN628835 PA

Addresses

Primary practice location

100 Old Marlton Pike W
Marlton, NJ 08053

Mailing address

100 W Old Marlton Pike
Marlton, NJ 08053
Phone (856) 596-3000

Other practice location 1

700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 691-1129

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429000092 NJ Practitioner - Nurse Practitioner 1456760669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN628835PAMDRegistered Nurse
26NR1958830NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Sep 1, 2025 Accepting new patients
David S Shields, MD, LLC CurrentSince Apr 28, 2025 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Apr 28, 2025 Accepting new patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

2950 College Dr
Ste 2A
Vineland, NJ 08360
Phone (856) 641-8680

2950 College Dr
Ste 2G
Vineland, NJ 08360
Phone (856) 691-1129

26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1861071797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W OLD MARLTON PIKE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-3000",
            "fax_number": "856-596-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-393-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624413",
            "country_code": "US",
            "telephone_number": "856-691-1129",
            "fax_number": "856-691-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "DOMINIKA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR1958830",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN628835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.