Jacob Mauro Dominguez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

329762 Issued in NY

Practice address

223 Brook Av
Bronx, NY 10454

Phone

(718) 541-5218

NPI assigned

Sep 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982122628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BROOK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544106",
            "telephone_number": "718-541-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BROOK AV",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10454",
            "telephone_number": "718-541-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JACOB",
        "middle_name": "MAURO",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin A Dominguez Almonte, M.D
• Odeilis Maxiel Dominguez Amadiz, MD
• Sarasuati Devi Dominguez Jimenez, MD
• Ciomara Dominguez
• Cristina Dominguez, PSY.D.
• Lorens Dominguez
• Lydia Dominguez
• Marlene B Dominguez, RDH
• Martha Dominguez
• Mary Joelanny Dominguez, M.D.

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.