KIMBERLY MARIE DOMALEWICZ FNP-BC NPI 1114449030

NPI Information

  • NPI: 1114449030
  • Provider Name: KIMBERLY MARIE DOMALEWICZ, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2231 BURDETT AVE STE 110
    TROY, NY
    ZIP 12180
  • Phone: (518) 271-3900

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NPI Details

Kimberly Marie Domalewicz, FNP-BC is a family nurse practitioner in Troy, NY with 9 years of experience. Kimberly Marie Domalewicz, FNP-BC NPI is 1114449030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2231 BURDETT AVE STE 110
TROY, NY
ZIP 12180-447
Phone: (518) 271-3900
Fax: (518) 271-3914

The NPI 1114449030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 6/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily341343NEW YORKYes
2207V00000XObstetrics & Gynecology341343NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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