Active NPI
Vanessa Domingues
- Hearing Instrument Specialist
- Newark, NJ
National Provider Identifier
1942605266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 25MG00133800
- Practice address
- 10 Garibaldi Ave
Suite 34
Newark, NJ 07114-2110 - Phone
- (908) 247-5776
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 25MG00133800 | NJ | Primary |
Addresses
Primary practice location
10 Garibaldi Ave
Suite 34
Newark, NJ 07114-2110
Mailing address
10 Garibaldi Ave
Newark, NJ 07114-2110
Phone (908) 247-5776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MG00133800 | Other | NJ | STATE OF NEW JERSEY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00133800 | NJ | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1942605266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GARIBALDI AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071142110",
"telephone_number": "908-247-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GARIBALDI AVE",
"address_2": "SUITE 34",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071142110",
"telephone_number": "908-247-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUES",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "25MG00133800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW JERSEY",
"identifier": "25MG00133800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.