| Jessica Dominguez, PA-C | |
|
1135 Main Ave, Clifton, NJ 07011-2353 | |
| (973) 928-3388 | |
| Not Available |
| Full Name | Jessica Dominguez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1135 Main Ave, Clifton, 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 |
|---|---|---|---|
| 1518749092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 030723 (New York) | Secondary |
| 363A00000X | Physician Assistant | 25MP00812900 (New Jersey) | Primary |
| Entity Name | MD Care Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659911287 PECOS PAC ID: 4880023274 Enrollment ID: O20240805004245 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Dominguez, PA-C 187 Hope Ave Apt 2, Passaic, NJ 07055-6707 Ph: Not Available | Jessica Dominguez, PA-C 1135 Main Ave, Clifton, NJ 07011-2353 Ph: (973) 928-3388 |
Nasrin Hwig, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 716 Broad St Ste 2a, Clifton, NJ 07013 Phone: 973-221-3122 |
Paul Punla, R.P.A.C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Mount Prospect Ave, Clifton, NJ 07013 Phone: 973-928-1325 |
Coleen Shannon Mcdonald, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 780 Route 3, Clifton, NJ 07012 Phone: 973-777-6767 Fax: 973-777-6745 |
John Zakko, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1136 Clifton Ave, Clifton, NJ 07013 Phone: 862-249-1266 |
Lauren Ashley Royce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1135 Broad Street, Suite 1, Clifton, NJ 07013 Phone: 973-754-2315 Fax: 973-754-2925 |
Rachel Lee Vaszlavik, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 777 Passaic Ave Ste 500, Clifton, NJ 07012 Phone: 844-777-0910 |
Bethany A. Hamberger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 852 Route 3, Clifton, NJ 07012 Phone: 973-450-1991 |