| Joselito B Domingo, MD | |
|
59 Koch Ave, Morris Plains, NJ 07950-4400 | |
| (973) 538-1800 | |
| Not Available |
| Full Name | Joselito B Domingo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 59 Koch Ave, Morris Plains, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609936806 | NPI | - | NPPES |
| 887864C2E | Other | NJ | MEDICARE BILLING NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA06012200 (New Jersey) | Primary |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336221878 PECOS PAC ID: 6406742592 Enrollment ID: O20040420000292 |
| Entity Name | Summit Oaks Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880200 PECOS PAC ID: 8628047685 Enrollment ID: O20051213000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Joselito B Domingo, MD 59 Koch Ave, Morris Plains, NJ 07950-4400 Ph: (973) 588-5300 | Joselito B Domingo, MD 59 Koch Ave, Morris Plains, NJ 07950-4400 Ph: (973) 538-1800 |
Dr. Elda P Sancho Mora, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 973-538-1800 | |
Dr. Inderpal Kaur Bhathal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 973-889-4390 Fax: 973-889-8799 | |
Dr. Edward Michael Collopy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 520 Speedwell Ave, Suite 108, Morris Plains, NJ 07950 Phone: 973-984-9100 Fax: 973-984-9181 | |
Dr. Anasuya Salem, M.D., M.P.H Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2839 Rte 10 E, 203, Morris Plains, NJ 07950 Phone: 973-928-3900 Fax: 973-928-3901 | |
Marie C. Rabanal, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 973-538-1800 | |
Victoria F. Cayetano, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 59 Koch Avenue, Morris Plains, NJ 07950 Phone: 973-538-1800 | |
Loreto D. Lizardo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 59 Koch Ave, Morris Plains, NJ 07950 Phone: 943-538-1800 |