Brenda Diaz, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02304900 Issued in NJ

Practice address

70 Hudson St Ste 2B
Hoboken, NJ 07030-5618

Phone

(201) 222-3400

Fax

(201) 222-8028

NPI assigned

Nov 26, 2024

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Sport and SpineGroup PAC ID 6204207335, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hudson Sport and Spine

  • Chiropractor
  • Hoboken, NJ
  • NPI 1962943860
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1497571186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD PALISADE RD APT 28J",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247063",
            "telephone_number": "201-893-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST STE 2B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305618",
            "telephone_number": "201-222-3400",
            "fax_number": "201-222-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "BRENDA",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02304900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evance Desriviere
• Alyssa Detommaso, OT
• Devoted Health Services Corporation
• Mariama Diallo, DSW, LCSW
• Subani N Dias, MD
• Paula Natalie Diaz, LCSW
• Gianna Marie Dicristina, MSW, LSW
• Dana Maria Dilapo, PT, DPT
• Giuseppina Dilena, RD
• Theresa Dionisio

• Physical Therapist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.