Individual provider Active NPI

Geraldine C. Diaz, D.O.

  • Anesthesiology Physician
  • Brentwood, NY
National Provider Identifier
1003987967
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
225683 Issued in NY
Practice address
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone
(631) 231-4455
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randn Anesthesia PLLC 32 clinicians
Sedation Vacation Perioperative Medicine PLLC 86 clinicians
North American Partners in Anesthesia LLP 427 clinicians

Practice addresses (Care Compare)

101 S Central Ave
Hartsdale, NY 10530-2317
Phone (718) 222-5999

1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 222-5999

601 Suffolk Ave
Brentwood, NY 11717-4309
Phone (631) 625-6660

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as individual
Quality
0
Improvement activities
40

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070124000564 NY Practitioner - Anesthesiology 3375544935 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036126434ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jan 30, 2026 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Dec 13, 2024 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Aug 23, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Dec 13, 2024 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince Apr 25, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Anesthesiology Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

111 E 210th St
Bronx, NY 10467

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036126434 IL
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 036126434 IL
Anesthesiology Physician 207L00000X 225683 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

601 Suffolk Ave
Brentwood, NY 11717-4309

Mailing address

450 Clarkson Ave Ste 6
Brooklyn, NY 11203-2012
Phone (718) 270-2331

Other practice location 1

450 Clarkson Ave Ste 6
Brooklyn, NY 11203
Phone (718) 270-2331

Other practice location 2

1740 W Taylor St Ste 3200W
Chicago, IL 60612-7232
Phone (312) 996-4020

Other practice location 3

5841 S Maryland Ave
MC 4028
Chicago, IL 60637-1447
Phone (773) 926-1220

Other practice location 4

1500 William Floyd Pkwy
Shirley, NY 11967-1800
Phone (631) 205-9090

Other practice location 5

5841 S Maryland Ave
MC 4028
Chicago, IL 60637-1447
Phone (773) 926-1220

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
Z120519OtherAZMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2026.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1003987967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174309",
            "telephone_number": "631-231-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-270-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St Ste 3200W",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-996-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "MC 4028",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-926-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 William Floyd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shirley",
            "state": "NY",
            "postal_code": "119671800",
            "country_code": "US",
            "telephone_number": "631-205-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "MC 4028",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-926-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GERALDINE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036126434",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IL",
            "license": "036126434",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "225683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z120519",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.