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

Mrs. Jennifer Dedominicis, PA

Individual provider Physician Assistant · NPI 1659724961

Mrs. Jennifer Dedominicis, PA is a Physician Assistant in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 645-9324
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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 23.003602 (CT)

Record details

NPI number1659724961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 21, 2016
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

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