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

Dr. Connie D Domingo, MD

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1902896889

Dr. Connie D Domingo, MD is a Pediatric Medicine in Marlton, New Jersey. Qualified in 1994, 32 years ago. Licensed in New Jersey and New Mexico.

Years since qualifying
32
Licensed in
NJ, NM
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

92 Brick Rd 3rd Fl
Marlton, NJ 08053-2177
Phone: (856) 489-4520
Fax: (856) 983-1065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 25MA06376400 (NJ)
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X · Licence MD2026-0032 (NM)

Record details

NPI number1902896889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated

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