Individual provider Active NPI

Cynthia Annette Diaz, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1366049991
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345800 Issued in NY
Practice address
506 Fort Washington Ave Apt 1F
New York, NY 10033-2081
Phone
(212) 568-0553
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345800 NY Primary

Addresses

Primary practice location

506 Fort Washington Ave Apt 1F
New York, NY 10033-2081

Mailing address

3 Remsen Rd Apt 4H
Yonkers, NY 10710-1859
Phone (917) 531-3583

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210913000032 NY Practitioner - Nurse Practitioner 7012313372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians
Dobbs Ferry Emergency Medicine, PCGroup PAC ID 8022908268, 39 clinicians

Practice addresses (Care Compare)

332 E 149TH St
Bronx, NY 10451-5627
Phone (347) 329-4010

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F345800NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Ferry Emergency Medicine, PC CurrentSince Oct 1, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Jun 9, 2021 Accepting new patients

Locations

5 N Airmont Rd
Airmont, NY 10901
Phone (845) 547-0300

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1366049991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REMSEN RD APT 4H",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101859",
            "telephone_number": "917-531-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 FORT WASHINGTON AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332081",
            "telephone_number": "212-568-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CYNTHIA",
        "middle_name": "ANNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-12-30",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.