Nicholas Anthony Diaz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064955 Issued in NY

Practice address

2936 Hylan Blvd
Staten Island, NY 10306-4056

Phone

(718) 987-6453

NPI assigned

Mar 6, 2016

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• General Dentistry of Staten Island PLLC

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1689531139
  NPD Authorized official
• Doctor Silman Smile Spa II PC

  • General Practice Dentistry
  • Parlin, NJ
  • NPI 1508991431
  NPD (past)

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

{
    "created_epoch": "1457222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780044529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Taylors Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263281",
            "country_code": "US",
            "telephone_number": "732-410-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "852 Broadway",
            "address_purpose": "LOCATION",
            "city": "West Long Branch",
            "state": "NJ",
            "postal_code": "077641503",
            "country_code": "US",
            "telephone_number": "732-222-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Palmer Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331088",
            "country_code": "US",
            "telephone_number": "732-671-1052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Ernston Rd",
            "address_2": "Suite B-7",
            "address_purpose": "LOCATION",
            "city": "Parlin",
            "state": "NJ",
            "postal_code": "088591406",
            "country_code": "US",
            "telephone_number": "732-721-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-06",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102623600",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Diaz, MS
• Keith Thomas Diaz, M.D.
• Kimberly Diaz
• Lillian Ibeth Diaz, M.D.
• Maria Linda Diaz, PNP
• Christina Dibella
• Jaclyn Mary Dibello
• Arianna Dibenedetto
• Christopher Joseph Dibenedetto, FNP
• Elaina Ann Dibenedetto, LCSW

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.