Individual provider Active NPI

Mary Diaz-Garcia, APRN

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1083012728
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00539200 Issued in NJ
Practice address
193 Palisade Ave
Jersey City, NJ 07306-1112
Phone
(201) 656-1042
Fax
(201) 656-7656
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00539200 NJ Primary

Addresses

Primary practice location

193 Palisade Ave
Jersey City, NJ 07306-1112

Mailing address

193 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 656-1042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150121002095 NJ Practitioner - Nurse Practitioner 2668796616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 568-0493

1555 Ctr Ave
Fort Lee, NJ 07024-4612
Phone (201) 510-0200

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

274 County Rd
Tenafly, NJ 07670-1040
Phone (201) 568-0493

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jan 23, 2016 Accepting new patients
Physician Partners of Englewood, PC PastSince Jan 1, 2025 Accepting new patients

Locations

1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

1555 Center Ave
Ste 2
Fort Lee, NJ 07024
Phone (201) 242-1600

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

220 Livingston St
Ste 202
Northvale, NJ 07647
Phone (201) 768-9090

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

274 County Rd
Lowr
Tenafly, NJ 07670
Phone (201) 568-0493

Interoperability endpoints

  • Direct secure messaging: mary.diazgarcia@direct.carepointhealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1083012728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061112",
            "telephone_number": "201-656-1042",
            "fax_number": "201-656-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061112",
            "telephone_number": "201-656-1042",
            "fax_number": "201-656-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GARCIA",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00539200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.