MR. BENJAMIN JOSEPH DOMINGO (NPI# 1902948086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902948086 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN JOSEPH DOMINGO |
| Credential | FNP-C |
| Practice Address |
Syracuse University Health 111 Waverly Avenue Syracuse NY 13244-0001 |
| Mailing Address |
119 Burnet Park Dr Syracuse NY 13204-2509 |
| Practice Telephone | 3154439001 |
| Practice Fax Number | 3154439010 |
| Mailing Telephone | 3152567252 |
| Mailing Fax Number | 3154439001 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F332209-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SYRACUSE UNIVERSITY HEALTH 111 WAVERLY AVENUE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13244-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548552912 | Anne E Hogan | Nurse Practitioner | Syracuse University Health, 111 Waverly Ave, Syracuse, NY 13244-0001 | 2011-05-04 |
| 1639484785 | Kathleen M Maclachlan | Registered Nurse | Syracuse University Health, 111 Waverly Avenue, Syracuse, NY 13244-0001 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
| 1376182881 | Staceyann Reid | Counselor | 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 | 2019-12-31 |
| 1104287101 | Kathleen Chaney | Specialist/Technologist | 1301 E Colvin, Syracuse, NY 13244-0001 | 2016-03-18 |
| 1760866701 | Anna Bender | Student in an Organized Health Care Education/Training Program | 244 White Hl, Syracuse, NY 13244-0001 | 2015-07-18 |
| 1245638790 | Adelyn Passaro | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-0001 | 2014-12-16 |
| 1982940672 | Natalie Russo | Psychologist | 403 Huntington Hl, Syracuse University Dept. of Psychology, Syracuse, NY 13244-0001 | 2012-12-27 |
| 1538464417 | Joshua Charles Felver | Psychologist | Syracuse University Ctr, 804 University Ave., Suite 201, Syracuse, NY 13244-0001 | 2011-01-24 |
| 1689808529 | Anita L Lightburn | Speech-Language Pathologist | Gebbie Clinics, 805 S. Crouse Ave., Syracuse, NY 13244-0001 | 2009-05-06 |
| 1811138290 | Kristen L Kennedy | Audiologist | 805 S Crouse Ave, Syracuse, NY 13244-0001 | 2009-03-16 |
| Find all providers in zip 13244 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
| 1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
| 1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
| 1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
| 1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
| 1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.