ELVITA GENELUS-DOMINIQUE, D.O, F.A.C.S, P.C (NPI# 1912465980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912465980 |
| Entity Type | Organization |
| Organization Name | ELVITA GENELUS-DOMINIQUE, D.O, F.A.C.S, P.C |
| Practice Address |
5850 Catalpa Ave Ridgewood NY 11385-5028 |
| Mailing Address |
628 Lenore Ln Elmont NY 11003-4526 |
| Practice Telephone | 7188211910 |
| Practice Fax Number | 7188211125 |
| Mailing Telephone | 5167215168 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | DR. ELVITA GENELUS-DOMINIQUE (OWNER) |
| Authorized Official Telephone | 5167215168 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03244057 | 05 |
| Street Address |
5850 CATALPA AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871938704 | Jason Rugel | Family Medicine | 5850 Catalpa Ave, Ridgewood, NY 11385-5028 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346513041 | Archana Raman | Surgery | 1200 E Ridgewood Ave Ste 203, Ridgewood, NJ 07450-3937 | 2012-02-12 |
| 1013954205 | Mary Ann Benigno | Surgery | 145 Prospect Street, Ridgewood, NJ 07450 | 2006-05-31 |
| 1306845540 | Edward A Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2005-07-19 |
| 1477966513 | Gerald Valme, PC | Surgery | 1010 Ocean Avenue, Gerald Valme, PC, Ridgewood, NY 11385-5028 | 2014-06-06 |
| 1528312923 | North Jersey Neurosurgical Associates, Pa | Surgery | 225 Dayton St, Ridgewood, NJ 07450-4407 | 2012-11-07 |
| 1750517801 | Chidambaram Raman Md LLC | Surgery | 1200 E Ridgewood Ave, West Wing, 2nd Floor, Ridgewood, NJ 07450-3957 | 2009-06-03 |
| 1730326356 | Advanced Laparoscopic Specialists | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2009-01-20 |
| 1407016108 | Melissa Bahareh Bagloo | Surgery | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2008-06-16 |
| 1255452447 | Anthony Enrico Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2007-04-03 |
| 1144340001 | Advanced Laparoscopic Surgical | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2007-04-01 |
| Find all providers in RIDGEWOOD | ||||
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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.