Gina Rose Diaz

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01289 Issued in MD

Practice address

135 W Dares Beach Rd Ste 102
Prince Frederick, MD 20678-3127

Phone

(443) 295-7100

Fax

(443) 295-7555

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Rose Spaccarelli Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ocean Otolyarngology LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Toms River, NJ
  • NPI 1376241059
  Medicare reassignment NPD

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1265868848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W DARES BEACH RD STE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783127",
            "telephone_number": "443-295-7100",
            "fax_number": "301-295-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W DARES BEACH RD STE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783127",
            "telephone_number": "443-295-7100",
            "fax_number": "443-295-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SPACCARELLI",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Edward Denekas, M.D.
• Donna Lynn Deninno, PHARM D
• Viplav Narayan Deogaonkar
• Emily Deyo
• Tai Dial, DPT
• Lisa R Dickens, BS, CAC-AD
• Denise Michelle Dickerson, MS, LCADC
• Miles Diller, PH.D.
• Michael Joseph Dodd, MD
• Kathleen Dodson, LGSW

• Audiologist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.