Active NPI
Diego a Diaz MD PC
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1689122913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 211166
- Legal business name
- DIEGO A DIAZ MD PC
- Practice address
- 1041 3Rd Ave
New York, NY 10065-8114 - Phone
- (212) 583-2956
- Fax
- (212) 644-8666
- NPI assigned
- Sep 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diego A Diaz, MD
- Title
- Owner
- Phone
- (212) 583-2853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 211166 | NY | Primary |
Addresses
Primary practice location
1041 3Rd Ave
New York, NY 10065-8114
Mailing address
1041 3Rd Ave
New York, NY 10065-8114
Phone (212) 583-2956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2127108 | Diego a Diaz, MD, PC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1942270467
-
- Sleep Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1083684708
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473897600000",
"number": "1689122913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658114",
"telephone_number": "212-583-2956",
"fax_number": "212-644-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658114",
"telephone_number": "212-583-2956",
"fax_number": "212-644-8666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIEGO A DIAZ MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "DIEGO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-583-2853",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "211166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.