Individual provider Active NPI

Iris Maldonado Diaz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Branchburg, NJ
National Provider Identifier
1568110351
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01263800 Issued in NJ
Practice address
971 US Highway 202 N # 4351
Branchburg, NJ 08876-3757
Phone
(856) 903-1100
NPI assigned
Mar 11, 2022
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01263800 NJ Primary

Addresses

Primary practice location

971 US Highway 202 N # 4351
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N # 4351
Branchburg, NJ 08876-3757
Phone (856) 903-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Physicians LLC Psychiatric/Mental Health CurrentSince Jul 4, 2024 Accepting new patients
Iris Behavioral Wellness Psychiatric/Mental Health Past Accepting new patients
CMC Department of Medicine Group PA PastSince Mar 27, 2022 Accepting new patients

Locations

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

Interoperability endpoints

  • Direct secure messaging: idiaz122945@direct.cooperhealth.edu
  • Direct secure messaging: omegaphysiciansllc.irismaldonadodiaz@158400.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1568110351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N # 4351",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "856-903-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N # 4351",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "856-903-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO DIAZ",
        "first_name": "IRIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01263800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.