Jonathan Martin Diaz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00378400 Issued in NJ

Practice address

315 Wootton St Ste J
Boonton, NJ 07005-1900

Phone

(973) 794-6040

NPI assigned

Oct 27, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kayal Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1528729159
  Medicare reassignment Care Compare group NPD
• Maywood Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maywood, NJ
  • NPI 1568840080
  NPD
• Kayal Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1427014083
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1063129237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MOUNTAIN AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081666",
            "telephone_number": "973-897-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST STE J",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051900",
            "telephone_number": "973-794-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Passaic St",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "076071342",
            "country_code": "US",
            "telephone_number": "201-880-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JONATHAN",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00378400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Demarco, APN
• Developmental Disability Awareness With Love (Ddawl)
• Developmental Disability Awareness With Love (Ddawl)
• Developmental Disability Awareness With Love (Ddawl)
• Developmental Disability Awareness With Love (Ddawl)
• Robert Joseph Dibenedetto, MD
• Kasey C Divine, CNM
• Lisa Calabrese Dodgen, MA
• Joseph Ryan Donofrio
• Scott Charles Doughty, CADC

• Physical Therapy Assistant in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.