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

Mrs. Jessica Elana Domb, NP

Individual provider Adult Health Nurse Practitioner · NPI 1104297605

Mrs. Jessica Elana Domb, NP is a Nurse Practitioner in Middletown, New Jersey. Qualified in 2014, 12 years ago. Practices with MSK Monmouth, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone: (848) 225-6265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (646) 734-4899

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00597800 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 307222 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 341708 (NY)

Record details

NPI number1104297605
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 9, 2015
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Msk Monmouth — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown