Individual provider Active NPI

Linda Gazzillo Diaz, ED.D., ATC, LMT

  • Massage Therapist
  • Wayne, NJ
National Provider Identifier
1912972233
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA14060 Issued in FL
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25MT00064800NJMDAthletic Trainer
MA14060FLMDMassage 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.

Verify at the official NPI Registry.