Organization Active NPI

JD Family Health NP PLLC

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1992441422
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JD FAMILY HEALTH NP PLLC
Practice address
20 W Lincoln Ave Ste 101
Valley Stream, NY 11580-5762
Phone
(516) 706-0614
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Jozelle Diaz, NP
Title
Owner
Phone
(516) 706-0614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

20 W Lincoln Ave Ste 101
Valley Stream, NY 11580-5762

Mailing address

20 W Lincoln Ave Ste 101
Valley Stream, NY 11580-5762
Phone (516) 706-0614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1992441422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805762",
            "telephone_number": "516-706-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805762",
            "telephone_number": "516-706-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOZELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-706-0614",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.