Jessica Dominguez, RD in Paramus, NJ - Medicare Dietitian, Registered Provider

Jessica Dominguez, RD is a medicare enrolled "Dietitian, Registered" provider in Paramus, New Jersey. Her current practice location is 1 Kalisa Way Ste 211, Paramus, New Jersey. You can reach out to her office (for appointments etc.) via phone at (800) 736-3739.

Jessica Dominguez is licensed to practice in New Jersey (license number 86072795) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407445745.

Contact Information

	Jessica Dominguez, RD
	1 Kalisa Way Ste 211, Paramus, NJ 07652-3538
	(800) 736-3739
	(201) 652-6253

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Dominguez
Gender	Female
Speciality	Dietitian, Registered
Location	1 Kalisa Way Ste 211, Paramus, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407445745
Provider Enumeration Date: 01/12/2021
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9931629482
Enrollment ID: I20250227000512

Medical Identifiers

Medical identifiers for Jessica Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407445745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86072795 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Dominguez allows following entities to bill medicare on her behalf.

Provider Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Dominguez, RD 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: (732) 807-0877	Jessica Dominguez, RD 1 Kalisa Way Ste 211, Paramus, NJ 07652-3538 Ph: (800) 736-3739

Reviews and Comments

Dietitian, Registered in Paramus, NJ

Mrs. Melissa Assael-diaz, MPH,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 Madison Ave, Suite 50, Paramus, NJ 07652 Phone: 917-273-1153
New Leaf Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-870-3765
Leigh Slagle-leeds, RD, CSO Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Valley Health Plz, Paramus, NJ 07652 Phone: 201-634-5694
Janet Ellen Longo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 Madison Ave, Suite 50, Paramus, NJ 07652 Phone: 845-641-4478
Ms. Stacy Rothschild, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-870-3765
Ms. Nkechi R Fyle, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 27 Madison Ave Ste 50, Paramus, NJ 07652 Phone: 551-265-5281 Fax: 866-391-3047

Jessica Dominguez, RD - Medicare Dietitian in Paramus, NJ