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

Michelle Domingo, PA-C

Individual provider Physician Assistant · NPI 1952737116

Michelle Domingo, PA-C is a Physician Assistant in Raritan, New Jersey. Qualified in 2013, 13 years ago. Practices with PA Memory and Behavioral Care LLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

575 State Route 28 Ste 2108
Raritan, NJ 08869-1354
Phone: (973) 295-6335
Fax: (862) 204-3456
Show map & directions

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

Additional practice locations (1)

  • 1107 Eaton Ave, Bethlehem, PA 18018-1862 — (484) 526-2400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952737116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pa Memory And Behavioral Care Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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