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

Magen Domange, PA-C

Individual provider Physician Assistant · NPI 1780243832

Magen Domange, PA-C is a Physician Assistant in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1780243832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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