| Dr Marie Annette Domingo, MD | |
|
172 Washington Valley Rd Ste 5, Warren, NJ 07059-7178 | |
| (201) 956-9364 | |
| Not Available |
| Full Name | Dr Marie Annette Domingo |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 172 Washington Valley Rd Ste 5, Warren, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801834429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MA07159300 (New Jersey) | Primary |
| 207L00000X | Anesthesiology | MA07159300 (New Jersey) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Anesthesia | 0446639306 | 50 |
| Entity Name | New Jersey Spine Institute, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548412497 PECOS PAC ID: 0648260141 Enrollment ID: O20040517000408 |
| Entity Name | Specialty Surgical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398199 PECOS PAC ID: 0941384655 Enrollment ID: O20110222000734 |
| Entity Name | Centurion Anesthesia Surgical Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326707100 PECOS PAC ID: 9537551254 Enrollment ID: O20220110000263 |
| Entity Name | Canj Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881353662 PECOS PAC ID: 6709278740 Enrollment ID: O20220124002960 |
| Entity Name | Bay Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063151546 PECOS PAC ID: 0446639306 Enrollment ID: O20220623000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marie Annette Domingo, MD 513 Clinton Ave, Wyckoff, NJ 07481-1405 Ph: (201) 956-9364 | Dr Marie Annette Domingo, MD 172 Washington Valley Rd Ste 5, Warren, NJ 07059-7178 Ph: (201) 956-9364 |
James Baratta, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 19 Thistle Ln, Warren, NJ 07059 Phone: 732-205-8250 Fax: 732-205-8258 | |
Christina W Chin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Town Center Dr, Warren, NJ 07059 Phone: 908-222-2777 | |
Dr. Isidore Lee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Summerhill Dr, Warren, NJ 07059 Phone: 908-769-8272 Fax: 908-753-0816 |