Individual provider · Type 1 NPI

Carlie Ann Dominguez, PA

Physician Assistant · Newark, NJ

NPI number 1881404440 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Call (973) 886-8521 Map

Mailing address

14 Sunset Dr
Whippany, NJ 07981-1620

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00904600 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881404440

Carlie Ann Dominguez, PA's National Provider Identifier is 1881404440, issued on Jan 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newark, NJ. The record was last updated on Jan 7, 2025.