| Justin Domurat, NP | |
|
7401 Greenbelt Rd, Greenbelt, MD 20770-3402 | |
| (301) 982-5437 | |
| Not Available |
| Full Name | Justin Domurat |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 7401 Greenbelt Rd, Greenbelt, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871251090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 61214691 (Washington) | Primary |
| Entity Name | Seattle Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Domurat, NP 1 Hollow Ln Ste 301, New Hyde Park, NY 11042-1215 Ph: (516) 869-0650 | Justin Domurat, NP 7401 Greenbelt Rd, Greenbelt, MD 20770-3402 Ph: (301) 982-5437 |
Moriliat Olayinka Ajose, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7905 Belle Point Dr, Greenbelt, MD 20770 Phone: 240-412-2464 | |
Mrs. Seliat Ajoke Dosunmu, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Greenway Center Dr, Greenbelt, MD 20770 Phone: 443-295-6600 Fax: 951-281-2991 | |
Ms. Agnes Jennifer Kallon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 Hanover Dr, Suite 301, Greenbelt, MD 20770 Phone: 301-345-1800 Fax: 301-345-3854 | |
Nora Eve Sullivan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Centerway Ste 104, Greenbelt, MD 20770 Phone: 240-424-0697 | |
Felicitas Onyekweli, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7313 Hanover Pkwy, Greenbelt, MD 20770 Phone: 301-477-2643 Fax: 301-498-7436 | |
Ms. Bolanle Saba, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Centerway Ste C2, Greenbelt, MD 20770 Phone: 240-670-4050 Fax: 240-201-2660 | |
Mrs. Lucia M Moutoux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Greenway Center Dr, Greenbelt, MD 20770 Phone: 301-220-2333 Fax: 301-220-2339 |