Connie Domingo, MD
Connie Domingo, MD is a Pediatric Rehabilitation Medicine Physician in Marlton, NJ, registered under NPI 1902896889.
Getting there
The practice address on file is 92 BRICK RD 3RD FLOOR, Marlton, NJ 08053. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MA06376400 | NJ | Pediatric Rehabilitation Medicine… primary |
| MD2026-0032 | NM | Pediatric Rehabilitation Medicine… |
Licences are recorded in 2 states: NJ, NM. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Medicine And Rehabilitation
- PAC ID
- 3476837386
- Enrollment ID
- I20170530000628
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: New Jersey and New Mexico. The practice address on file is in Marlton, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 25MA06376400
- Specialty
- Pediatric Rehabilitation Medicine…
- Licence
- MD2026-0032
- Specialty
- Pediatric Rehabilitation Medicine…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Rehabilitation Medicine covers
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. NUCC Health Care Provider Taxonomy, code 2081P0010X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081P0010X | Pediatric Rehabilitation Medicine Physician Pediatric Rehabilitation Medicine | 25MA06376400 | NJ | primary |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician Pediatric Rehabilitation Medicine | MD2026-0032 | NM |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1902896889 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 24, 2005 |
| Last updated | Feb 16, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
92 BRICK RD 3RD FLOOR Marlton, NJ 08053 (856) 489-4520 Fax (856) 983-1065 |
| Mailing address |
PO BOX 674 Marlton, NJ 08053 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 0 | 2 | 8 | 9 | 6 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 0 | 2 | 7 | 9 | 3 | 8 | 7 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.