Maria Linda Diaz, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382149 Issued in NY

Practice address

105 Hamilton Ave
Staten Island, NY 10301-1610

Phone

(718) 764-2410

Fax

(917) 521-0983

NPI assigned

Jun 22, 2011

Last updated

Mar 17, 2018By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Children's Aid Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
  • NPI 1730124025
  Medicare reassignment
• The Children's Aid Society

  • Voluntary or Charitable Agency
  • New York, NY
  • NPI 1124299763
  NPD (past)
• The Children's Aid Society

  • Voluntary or Charitable Agency
  • Brooklyn, NY
  • NPI 1467513564
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326334848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAMILTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011610",
            "telephone_number": "718-764-2410",
            "fax_number": "917-521-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HAMILTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011610",
            "telephone_number": "718-764-2410",
            "fax_number": "917-521-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171985",
            "country_code": "US",
            "telephone_number": "718-875-1167",
            "fax_number": "718-875-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Diaz
• Judy Diaz, MS
• Keith Thomas Diaz, M.D.
• Kimberly Diaz
• Lillian Ibeth Diaz, M.D.
• Nicholas Anthony Diaz, DDS
• Christina Dibella
• Jaclyn Mary Dibello
• Arianna Dibenedetto
• Christopher Joseph Dibenedetto, FNP

• Pediatric Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Nurse Practitioner in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.