Active NPI
Anthony William Diaz
- Internal Medicine Physician
- Perth Amboy, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA11029900
- Practice address
- 530 New Brunswick Ave
Perth Amboy, NJ 08861-3654 - Phone
- (732) 324-5080
- Fax
- (732) 324-4669
- NPI assigned
- Dec 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MA11029900 | NJ | Primary |
Addresses
Primary practice location
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Mailing address
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5099
Hospital & facility affiliations
- Ocean Medical Center
- Novant Health Rowan Medical Center
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.17 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 15.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11029900 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Hospitalist Physicians of New Jersey PA | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
65 James St
Edison, NJ 08820
Phone (732) 321-7010
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1134534688
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Hospitalist Physician
- Edison, NJ
- NPI 1588021851
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1851331359
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1235645821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NEW BRUNSWICK AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613654",
"telephone_number": "732-324-5080",
"fax_number": "732-324-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NEW BRUNSWICK AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613654",
"telephone_number": "732-324-5080",
"fax_number": "732-324-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANTHONY",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2022-06-07",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11029900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.