Ewelina Domanowski
NPI 1124633169 · Physician Assistant · Port Jefferson, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ewelina Domanowski is a Physician Assistant provider in Port Jefferson, NY (NPI 1124633169).
Provider details
- NPI number
- 1124633169
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-15
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Frequently asked questions
- What is Ewelina Domanowski's NPI number?
- Ewelina Domanowski's National Provider Identifier (NPI) is 1124633169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ewelina Domanowski's specialty?
- Ewelina Domanowski is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ewelina Domanowski located?
- Ewelina Domanowski's practice location on file with NPPES is 75 N Country Rd, Port Jefferson, NY 11777-2119.
- What is Ewelina Domanowski's phone number?
- The practice phone number listed in the NPPES registry for Ewelina Domanowski is (631) 473-1320.
- Does Ewelina Domanowski accept Medicare?
- Ewelina Domanowski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ewelina Domanowski's NPI active?
- Yes — Ewelina Domanowski's NPI (1124633169) is active in the NPPES registry as of the last update on 2023-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.