Dominique Jean Loguidice, PA-C - Physician Assistant in Maywood, NJ

Dominique Jean Loguidice, PA-C is a Physician Assistant - Surgical based in Maywood, New Jersey. Dominique Jean Loguidice is licensed to practice in New Jersey (license number 25MP00631600) and her current practice location is 113 W Essex St Ste 204, Maywood, New Jersey. She can be reached at her office (for appointments etc.) via phone at (201) 289-5551.

NPI number for Dominique Jean Loguidice is 1063186963 and her current mailing address is 113 W Essex St Ste 204, Maywood, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063186963.

Contact Information

Dominique Jean Loguidice, PA-C
113 W Essex St Ste 204,
Maywood, NJ 07607-1023
(201) 289-5551
Not Available

Map and Direction




Provider's Profile

Full NameDominique Jean Loguidice
GenderFemale
SpecialityPhysician Assistant - Surgical
Location113 W Essex St Ste 204, Maywood, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063186963
  • Provider Enumeration Date: 08/04/2021
  • Last Update Date: 08/04/2021

Medical Identifiers

Medical identifiers for Dominique Jean Loguidice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063186963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 25MP00631600 (New Jersey)Secondary
363AS0400XPhysician Assistant - Surgical 25MP00631600 (New Jersey)Primary

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. Dominique Jean Loguidice is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominique Jean Loguidice, PA-C
113 W Essex St Ste 204,
Maywood, NJ 07607-1023

Ph: (201) 289-5551
Dominique Jean Loguidice, PA-C
113 W Essex St Ste 204,
Maywood, NJ 07607-1023

Ph: (201) 289-5551

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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