Mateo Diaz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

86 S Harrison St
East Orange, NJ 07018-1748

Phone

(973) 324-7891

NPI assigned

Oct 2, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316457682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141923",
            "telephone_number": "973-324-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181748",
            "telephone_number": "973-324-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141923",
            "country_code": "US",
            "telephone_number": "973-324-7891 x265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MATEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minaxi I Desai, M.D.
• Rikesh Desai, PHARMD
• Renita Devilla, RN
• Diagnostic Medical Consultants Inc.
• Dialysis Center of Mountainside LLC (Dialysis Center of East Orange)
• Christian Patrick Didonna, PA-C
• Jatirah A Diggs
• Direct Interventional Access, LLC
• Happiness Anwuli Diru, PA
• Divine Healthcare Services

• Case Manager/Care Coordinator in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.