Amy Marie Domanski, APN | |
755 Memorial Pkwy Ste 302, Phillipsburg, NJ 08865-2771 | |
(908) 847-6722 | |
Not Available |
Full Name | Amy Marie Domanski |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 755 Memorial Pkwy Ste 302, Phillipsburg, 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 |
---|---|---|---|
1710326442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP027591 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ00444600 (New Jersey) | Primary |
Entity Name | St Lukes Warren Physician Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679847396 PECOS PAC ID: 9739093675 Enrollment ID: O20040323000967 |
Entity Name | Ennoble Hc Nj Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306500764 PECOS PAC ID: 0345638185 Enrollment ID: O20211028000825 |
Mailing Address | Practice Location Address |
---|---|
Amy Marie Domanski, APN 418 Daniel Dr, Stewartsville, NJ 08886-3204 Ph: (908) 208-2168 | Amy Marie Domanski, APN 755 Memorial Pkwy Ste 302, Phillipsburg, NJ 08865-2771 Ph: (908) 847-6722 |
Athena Theresa Bagaipo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Red School Ln, Phillipsburg, NJ 08865 Phone: 908-246-7060 Fax: 610-335-4404 | |
Nadya Dhanmatee Poretta, RN, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy Ste 203, Phillipsburg, NJ 08865 Phone: 908-859-4446 Fax: 908-859-1569 | |
Pauline Ekeh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Pudding Stone Way, Phillipsburg, NJ 08865 Phone: 908-361-7498 | |
Mrs. Amanda Sue Marino, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Coventry Dr, Phillipsburg, NJ 08865 Phone: 908-454-4666 Fax: 908-454-2332 | |
Tracy L Lee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Memorial Pkwy, Suite 112, Phillipsburg, NJ 08865 Phone: 855-691-6897 | |
Sandra Dean, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 908-859-6775 | |
Mrs. Juliet Marie Leonard, APN - FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 22, Phillipsburg, NJ 08865 Phone: 908-213-2211 |