Active NPI
Waleska Lynn Diaz, DNP, FNP-C
- Family Nurse Practitioner
- Chatham, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01128200
- Practice address
- 471 Main St
Chatham, NJ 07928-2102 - Phone
- (973) 635-4636
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01128200 | NJ | Primary |
Addresses
Primary practice location
471 Main St
Chatham, NJ 07928-2102
Mailing address
471 Main St
Chatham, NJ 07928-2102
Phone (973) 635-4635
Other practice location 1
345 Chandler Ave
Roselle, NJ 07203-1313
Phone (908) 906-4840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone (732) 952-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Excel Urgent Care of NJ LLC | Current | Accepting new patients | |
| Jersey Irish Medical | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627
601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627
1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515
400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
740 Route 1 N
Ste 2
Iselin, NJ 08830
Phone (732) 874-5507
740 US Highway 1 N
Iselin, NJ 08830
Phone (732) 362-3840
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436
2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775
214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
Interoperability endpoints
- hackensackmeridian.waleskadiaz@136290.advancedmd-direct.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Old Bridge, NJ
- NPI 1255742243
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Urgent Care Clinic/Center
- Freehold, NJ
- NPI 1285165209
-
- Urgent Care Clinic/Center
- Bound Brook, NJ
- NPI 1144575739
-
- Urgent Care Clinic/Center
- South Plainfield, NJ
- NPI 1851733349
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1629653217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 MAIN ST",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282102",
"telephone_number": "973-635-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 MAIN ST",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282102",
"telephone_number": "973-635-4636"
}
],
"practiceLocations": [
{
"address_1": "345 Chandler Ave",
"address_purpose": "LOCATION",
"city": "Roselle",
"state": "NJ",
"postal_code": "072031313",
"country_code": "US",
"telephone_number": "908-906-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "WALESKA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01128200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.