Individual provider Active NPI

Michelle Ashley Diaz, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1003376310
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007252 Issued in NY
Practice address
1268 Saint Nicholas Ave
New York, NY 10033-7202
Phone
(646) 349-0748
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007252 NY Primary

Addresses

Primary practice location

1268 Saint Nicholas Ave
New York, NY 10033-7202

Mailing address

1268 Saint Nicholas Ave
New York, NY 10033-7202
Phone (646) 349-0748

Other practice location 1

2391 Arthur Ave
Bronx, NY 10458-8185
Phone (347) 348-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002796 NY Practitioner - Podiatry 0749664720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Rockland Podiatry PCGroup PAC ID 0547456980, 2 clinicians

Practice addresses (Care Compare)

7 Liberty Square Mall
Stony Point, NY 10980-2400
Phone (845) 429-0520

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue15
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007252NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Rockland Podiatry PC Foot & Ankle Surgery CurrentSince Feb 1, 2026 Accepting new patients

Locations

7 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 429-0520

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: michelle.diaz.1@7845.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1003376310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337202",
            "telephone_number": "646-349-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337202",
            "telephone_number": "646-349-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2391 Arthur Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104588185",
            "country_code": "US",
            "telephone_number": "347-348-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MICHELLE",
        "middle_name": "ASHLEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.