Individual provider Active NPI

Aisleen Diaz, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1366910580
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
326904 Issued in NY
Practice address
4 W 58TH St FL 13
New York, NY 10019-2515
Phone
(646) 906-9614
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 326904 NY Primary

Addresses

Primary practice location

4 W 58TH St FL 13
New York, NY 10019-2515

Mailing address

4 W 58TH St FL 13
New York, NY 10019-2515

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723004571 NY Practitioner - Dermatology 2860938008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ponce School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Street Dermatology, PLLCGroup PAC ID 7113305517, 11 clinicians
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

4 W 58TH St
FL 13
New York, NY 10019-2515
Phone (646) 906-9614

75 Pennsylvania Ave
Binghamton, NY 13903-1608
Phone (212) 283-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
326904NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Street Dermatology, PLLC Dermatology CurrentSince Sep 4, 2024 Accepting new patients

Locations

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

Interoperability endpoints

  • Direct secure messaging: adiaz@navaderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1366910580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W 58TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W 58TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192515",
            "telephone_number": "646-906-9614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "AISLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "326904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.