Elise Dedominicis, DDS
NPI 1184288581 · Student in an Organized Health Care Education/Training Program · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elise Dedominicis, DDS is a Student in an Organized Health Care Education/Training Program provider in Philadelphia, PA (NPI 1184288581).
Provider details
- NPI number
- 1184288581
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DS042760 (PA)
Specialties & taxonomies
Student, Health Care
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1 Gustave L Levy PlNew York, NY 10029-6504Phone: (212) 241-6741
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Elise Dedominicis's NPI number?
- Elise Dedominicis's National Provider Identifier (NPI) is 1184288581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elise Dedominicis's specialty?
- Elise Dedominicis is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Elise Dedominicis located?
- Elise Dedominicis's practice location on file with NPPES is 5501 Old York Rd, Philadelphia, PA 19141-3018.
- What is Elise Dedominicis's phone number?
- The practice phone number listed in the NPPES registry for Elise Dedominicis is (215) 456-7890.
- Does Elise Dedominicis accept Medicare?
- Elise Dedominicis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elise Dedominicis's NPI active?
- Yes — Elise Dedominicis's NPI (1184288581) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.