Individual provider Active NPI

Argelia Diaz, NP

  • Adult Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1619229820
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306138-1 Issued in NY
Practice address
10 Brentwood Rd Ste 2
Bay Shore, NY 11706-8022
Phone
(631) 518-6040
Fax
(631) 518-6051
NPI assigned
Oct 11, 2012
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306138-1 NY Primary

Addresses

Primary practice location

10 Brentwood Rd Ste 2
Bay Shore, NY 11706-8022

Mailing address

10 Brentwood Rd Ste 2
Bay Shore, NY 11706-8022
Phone (631) 518-6040

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
I20140417000418 NY Practitioner - Nurse Practitioner 7315179769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Brentwood Rd
Suite 2
Bay Shore, NY 11706-8022
Phone (631) 518-6040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306138-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Argelia Nurse Practitioner in Adult Health PC Adult Health CurrentSince Sep 10, 2017 Accepting new patients

Locations

10 Brentwood Rd
Ste 2
Bay Shore, NY 11706
Phone (631) 518-6040

200 Howells Rd
Ste 3
Bay Shore, NY 11706

200 Howells Rd
Ste 4
Bay Shore, NY 11706
Phone (631) 518-6040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHABD/Endpoint/BFHABD

Organizations & group practices 1

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1619229820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRENTWOOD RD STE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068022",
            "telephone_number": "631-518-6040",
            "fax_number": "888-291-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRENTWOOD RD STE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068022",
            "telephone_number": "631-518-6040",
            "fax_number": "631-518-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ARGELIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306138-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.