Domingo Rivera-Lake, PA
NPI 1225165319 · Physician Assistant · Bronx, NY
Domingo Rivera-Lake, PA is a Physician Assistant provider in Bronx, NY (NPI 1225165319).
Provider details
- NPI number
- 1225165319
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 009922 (NY)
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2007-02-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Domingo Rivera-Lake's NPI number?
- Domingo Rivera-Lake's National Provider Identifier (NPI) is 1225165319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Domingo Rivera-Lake's specialty?
- Domingo Rivera-Lake is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Domingo Rivera-Lake located?
- Domingo Rivera-Lake's practice location on file with NPPES is 111 E 210th St, Bronx, NY 10467-2401.
- What is Domingo Rivera-Lake's phone number?
- The practice phone number listed in the NPPES registry for Domingo Rivera-Lake is (866) 662-9729.
- Is Domingo Rivera-Lake's NPI active?
- Yes — Domingo Rivera-Lake's NPI (1225165319) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.