Josephine Diaz

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000895 Issued in CT

Practice address

162 Mountain Rd
Suffield, CT 06078-2091

Phone

(860) 668-1211

Fax

(860) 668-2045

NPI assigned

Jul 27, 2006

Last updated

Aug 31, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: josephine.diaz.1@31837.direct.athenahealth.com

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.

• Suffield Medical Associates PLLC

  • Family Medicine Physician
  • Suffield, CT
  • NPI 1417129800
  Medicare reassignment

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1871517342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HARMONY HILL RD",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060351222",
            "telephone_number": "860-668-1211",
            "fax_number": "860-668-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MOUNTAIN RD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782091",
            "telephone_number": "860-668-1211",
            "fax_number": "860-668-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Czerniak, LPC
• D4 Performance Lab
• Dahlia Counseling Services, LLC
• Anna Catherine Davenport, LMFT
• Heidi Suzanne Deflorio, P.T.
• Christine L Doucette, APRN
• Heather Reichhart Dugan, LPC
• Ec Counseling Group LLC
• Eric Peters PHD LLC
• Esthetic Dental Group LLC

• Medical Physician Assistant in Suffield, CT
• Providers in Suffield, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.