Jennifer Diaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

035840 Issued in NY

Practice address

235 Forest Ave
Glen Cove, NY 11542-2034

Phone

(516) 463-6600

NPI assigned

Jan 7, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer Fellin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1821955279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WESTON ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422034",
            "telephone_number": "516-463-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FELLIN",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonia Desert
• Rajinder Dewan, PT
• Diabetes & Metabolism LLC
• Gail Diamond, PA
• Jason Diaz, PHARMD
• Margaret M Diliberto, MS ANP
• Smitha Mathew Dilodilo, PHARMACY DOCTORATE
• Farah Gaziz Dimsuyu, PMHNP
• Direct Medical Supplies, Inc.
• Gabrielle Divincenzo

• Physician Assistant in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.