DR. MARTIN DOMINGER (NPI# 1689757668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689757668 |
| Entity Type | Individual |
| Full Name | DR. MARTIN DOMINGER |
| Credential | DDS,MD |
| Practice Address |
5225 Nesconset Hwy Suite 57 Port Jefferson Station NY 11776-2053 |
| Practice Telephone | 6314744600 |
| Practice Fax Number | 6314749056 |
| Mailing Telephone | 6314744600 |
| Mailing Fax Number | 6314749056 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
044538 | NY | Dental Providers |
| Street Address |
5225 NESCONSET HWY SUITE 57 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354779 | Helen Catherine Martinetti | Speech-Language Pathologist | 5225 Nesconset Hwy, Suite 10, Port Jefferson Station, NY 11776-2053 | 2005-08-23 |
| 1932766649 | Colleen Michelle Menard | Specialist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2019-05-29 |
| 1700340973 | Sensory Solutions of Long Island, Inc | Psychologist | 5225 Nesconset Hwy, Buidling# 3, Suite 11&12, Port Jefferson Station, NY 11776-2054 | 2019-01-22 |
| 1497296941 | The Way of Acupuncture P.C. | Acupuncturist | 5225 Nesconset Hwy, Bldg 1, Ste 1, Port Jefferson Station, NY 11776-2053 | 2017-03-16 |
| 1194186528 | Nicole Ness | Behavioral Analyst | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2016-03-12 |
| 1386001824 | Lindsay Block | Speech-Language Pathologist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2016-01-27 |
| 1366816712 | Jeanine Clausen | Occupational Therapist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2015-11-23 |
| 1225401532 | Leslie Cortez | Case Manager/Care Coordinator | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2015-11-09 |
| 1760850465 | Heather Marie Fischetti | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2015-09-11 |
| 1730557000 | Marygrace Finora | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614804 | Steven Schwartz | Dentist | 132 Terryville Rd, Port Jefferson Station, NY 11776-1372 | 2005-07-22 |
| 1144787714 | Asnis Dental, Pllc | Dentist | 132 Terryville Rd, Port Jefferson Station, NY 11776-1372 | 2019-03-01 |
| 1679573455 | Kenneth Lee Stoler | Dentist | 132 Terryville Rd, Port Jefferson Station, NY 11776-1372 | 2005-07-22 |
| 1801896667 | Long Island Oral and Maxillofacial Surgery Associates LLP | Dentist | 132 Terryville Rd, Port Jefferson Station, NY 11776-1372 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.