Susan C Dedominicis, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2290806 Issued in MA

Practice address

990 Paradise Road
Swampscott, MA 01907

Phone

(781) 595-0151

Fax

(781) 592-6780

NPI assigned

Feb 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howard S Goldberg MD IncGroup PAC ID 0244292688, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dedominicis.susan.hsgmd@direct.partners.masshiway.net

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.

• Howard S Goldberg MD Inc

  • Dermatology Physician
  • Swampscott, MA
  • NPI 1912938531
  Medicare reassignment Care Compare group NPD

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

• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1891154712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PARADISE ROAD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-595-0151",
            "fax_number": "781-592-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PARADISE ROAD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-595-0151",
            "fax_number": "781-592-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOMINICIS",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DeDominicis.Susan.HSGMD@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "Howard S Goldberg MD Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "990 Paradise Road",
            "city": "Swampscott",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• D Ruskowski & Associates PC
• Paul Dagres, CPHT
• Daniel J. King, DMD, PC
• Darryl R. Smith D.D.S.
• Cassidy Anne Debettencourt, OTR/L
• David P Denune, MD
• Alana Desimone
• Diane R. Dube LLC
• Diba Dastjerdi
• Timothy P Difrancesco, DPT PT

• Family Nurse Practitioner in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.