MD Health Group LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MD HEALTH GROUP LLC

Practice address

680 Broadway Ste 205
Paterson, NJ 07514-1527

Phone

(201) 839-3834

NPI assigned

Apr 3, 2024

Last updated

Apr 8, 2024By 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

Marie Domingo, MDNPI 1801834429

Title

Owner/President/Managing Member

Phone

(201) 956-9364

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Marie Annette Domingo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Warren, NJ
  • NPI 1801834429
  Authorized official Same address or phone

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1871345868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KARL PL APT 22",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261641",
            "telephone_number": "973-955-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 205",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141527",
            "telephone_number": "201-839-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/MANAGING MEMBER",
        "authorized_official_telephone_number": "201-956-9364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIOLOGY/ PAIN MANAGEMENT",
            "identifier": "1801834429",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McIntosh
• Kelly McIntyre, APN-BC
• Aeisha McLeod-Robinson
• Tomicka S McMillion, RN, BSN, MSN, DNP
• Myesha McNeil
• Medical Concepts LLC
• Medical Surgical Family Practice of Paterson
• Medicon Diagnostic Laboratory LLC
• Medicsurg
• Medina Pharmacy Inc (Omar's Pharmacy)

• Vascular Surgery Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.