Benjamin Joseph Domingo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332209-1 Issued in NY

Practice address

10409 Angel Oak CT
Orlando, FL 32836-6513

Phone

(407) 536-9751

Fax

(424) 484-2667

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA, DC, MT, MD, PA, TX, VA, FL9 enrollments

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 9

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifemd Atlantic Patient Medical Care PCGroup PAC ID 2163868217, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.domingo@337577483108356.direct.elationemr.com

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.

• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  DC, FL, MD, PA, Single Specialty, VA

  Medicare reassignment Care Compare group NPD
• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  Single Specialty

  Medicare reassignment NPD
• Liberty Resources Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Syracuse, NY
  • NPI 1225254881

  Single Specialty

  Medicare reassignment NPD
• Lifemd Kansas Patient Medical Care PA

  • Clinic/Center
  • Overland Park, KS
  • NPI 1073353850

  FL, Single Specialty

  Medicare reassignment NPD
• Lifemd New England Patient Medical Care PA

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1376305847

  FL, Single Specialty

  Medicare reassignment NPD
• Lifemd South Central Patient Medical Care PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1871270348

  FL, Single Specialty

  Medicare reassignment NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919

  FL, Single Specialty

  Medicare reassignment NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  FL, MT, Single Specialty

  Medicare reassignment NPD
• Simple Consult, LLC

  • Nurse Practitioner
  • Dover, DE
  • NPI 1235001306

  Single Specialty

  NPD Authorized official
• Syracuse University

  • Student Health Clinic/Center
  • Syracuse, NY
  • NPI 1447338819
  NPD (past) Authorized official
• Liberty Resources, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fulton, NY
  • NPI 1700688827
  NPD
• Liberty Resources, Inc.

  • Primary Care Clinic/Center
  • Syracuse, NY
  • NPI 1821485483
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1902948086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GRN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "407-536-9751",
            "fax_number": "424-484-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 ANGEL OAK CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366513",
            "telephone_number": "407-536-9751",
            "fax_number": "424-484-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332209-1",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "72269",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Richelle Doll
• Gabriella Chaparro Dollar, ARNP
• Angela Mary Dolmetsch, MD
• Domdidi Project
• Ronald Richard Domescek, M.D.
• Mildrey C Dominguez de Armas
• Maylin Esther Dominguez Hernandez
• Danay Dominguez Marquez
• Dayana Dominguez Robles
• Alexander Dominguez, BCBA

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.