Active NPI
Linda Gazzillo Diaz, ED.D., ATC, LMT
- Massage Therapist
- Wayne, NJ
National Provider Identifier
1912972233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA14060
- Practice address
- William Paterson University of New Jersey
Department of Exercise and Movement Sciences
Wayne, NJ 07470 - Phone
- (973) 720-2364
- Fax
- (973) 720-2034
- NPI assigned
- Feb 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00064800 | NJ | |
| Massage Therapist | 225700000X | MA14060 | FL | Primary |
Addresses
Primary practice location
William Paterson University of New Jersey
Department of Exercise and Movement Sciences
Wayne, NJ 07470
Mailing address
115 Laurel Ave
Pompton Lakes, NJ 07442-2410
Phone (973) 835-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00064800 | NJ | MD | Athletic Trainer |
| MA14060 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912972233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LAUREL AVE",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074422410",
"telephone_number": "973-835-5858",
"fax_number": "973-835-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WILLIAM PATERSON UNIVERSITY OF NEW JERSEY",
"address_2": "DEPARTMENT OF EXERCISE AND MOVEMENT SCIENCES",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-720-2364",
"fax_number": "973-720-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LINDA",
"middle_name": "GAZZILLO",
"name_prefix": "Dr.",
"credential": "ED.D., ATC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00064800",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA14060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.