Vladimir Diaz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9010 150TH St
Jamaica, NY 11435-4024

Phone

(718) 739-0520

Fax

(718) 739-1582

NPI assigned

Feb 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1275099277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 150TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354024",
            "telephone_number": "718-739-0520",
            "fax_number": "718-739-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 150TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354024",
            "telephone_number": "718-739-0520",
            "fax_number": "718-739-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "VLADIMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W217966607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ndeye Kane Diaw
• Michelle Diaz-Gautreau
• Chloe Nicole Diaz, LMSW
• Richard Alexander Diaz
• Stacie S Diaz, LMT
• Pauletta Dickerson, LPN, RN
• Donna L Dickson
• Rhonda Carla Diener, MA CCC/SLP
• Billy Diep, RPH
• Paulette E Diggs, LCSW-R

• Case Manager/Care Coordinator in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.