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

Dr. Domenica Alexandra Fantini, DO

Individual provider Family Medicine Physician · NPI 1548609464

Dr. Domenica Alexandra Fantini, DO is a Family Practice in Basking Ridge, New Jersey. Graduated from Rutgers New Jersey Medical School in 2013, 13 years ago. Practices with Primary Care Group, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

665 Martinsville Rd Ste 218
Basking Ridge, NJ 07920-4700
Phone: (908) 607-1877
Fax: (908) 607-1866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB09772000 (NJ)

Record details

NPI number1548609464
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Primary Care Group, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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