Mrs Ruchoma A Domosh, APN, RN - Registered Nurse in New York, NY

Mrs Ruchoma A Domosh, APN, RN is a Registered Nurse based in New York, New York. Mrs Ruchoma A Domosh is licensed to practice in New York (license number 682398) and her current practice location is 37 W 26th St, New York, New York. She can be reached at her office (for appointments etc.) via phone at (212) 696-1550.

NPI number for Mrs Ruchoma A Domosh is 1144612763 and her current mailing address is 109a Rena Ln, Lakewood, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144612763.

Contact Information

Mrs Ruchoma A Domosh, APN, RN
37 W 26th St,
New York, NY 10010-1006
(212) 696-1550
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ruchoma A Domosh
GenderFemale
SpecialityRegistered Nurse
Location37 W 26th St, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144612763
  • Provider Enumeration Date: 02/19/2015
  • Last Update Date: 03/23/2024

Medical Identifiers

Medical identifiers for Mrs Ruchoma A Domosh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144612763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 26NJ15036700 (New Jersey)Secondary
163W00000XRegistered Nurse 682398 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ruchoma A Domosh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ruchoma A Domosh, APN, RN
109a Rena Ln,
Lakewood, NJ 08701-5290

Ph: (646) 942-8882
Mrs Ruchoma A Domosh, APN, RN
37 W 26th St,
New York, NY 10010-1006

Ph: (212) 696-1550

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