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Active NPI 1346163367 Individual Practitioner Male Practitioner

Johnathan Mark Domenico , PA-C

Physician Assistant • Potsdam, NY

Professional Overview & Biography Verified Profile Summary

Johnathan Domenico, PA-C is a registered healthcare professional specializing in Physician Assistant in Potsdam, NY. Practice services are available at 8 CLARKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8 Clarkson Ave

Potsdam, NY 136991401

Telephone 3152682161

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Potsdam, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Potsdam, NY (15701 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Abrinel Seeger , PA

Physician Assistant - Medical

NPI 1063338234

Physician Assistant

Gary Kelly , LMHC

Counselor - Mental Health

NPI 1194930610

Licensed Mental Health Counselor

Michael Pitts , ATC

Specialist/Technologist - Athletic Trainer

NPI 1356618110

Certified Athletic Trainer

Dalton Dowd

Specialist/Technologist - Athletic Trainer

NPI 1457810574
Mick York , PA-C

Physician Assistant

NPI 1548951528

Physician Assistant (Certified)

Alana Alpert , ATC

Specialist/Technologist - Athletic Trainer

NPI 1598018442

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 04, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2026

Registered at 8 CLARKSON AVE, POTSDAM, NY 136991401 (Tel: 3152682161)

📍
Updated Business Mailing Address August 04, 2026

Registered at 7134 RICKMEYER RD, ROME, NY 134406342

👤
Provider Name / Credentials Updated August 04, 2026

Recorded as JOHNATHAN DOMENICO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 04, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346163367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2026
Last Update: August 04, 2026
Sole Proprietor: No

Mailing Address

7134 Rickmeyer Rd

Rome, NY 134406342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.