Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominick Federico, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1326393026

Dominick Federico, PHYSICIANASSISTANT is a Physician Assistant in Lakewood, New Jersey. Qualified in 2012, 14 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

600 River Ave
Lakewood, NJ 08701
Phone: (732) 363-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00285300 (NJ)

Record details

NPI number1326393026
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Rwjbh Observation Associates Llc — 971 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakewood