Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Natalie Katherine Domanski, PA-C

Individual provider Physician Assistant · NPI 1629728076

Natalie Katherine Domanski, PA-C is a Physician Assistant in Livingston, New Jersey. Qualified in 2022, 4 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Specialties on file
3
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

200 S Orange Ave Ste 180
Livingston, NJ 07039-5817
Phone: (973) 828-0128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00741900 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00741900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629728076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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