JESSICA MARIE DIAZ


Address: 201 E 65th St, New York, NY 10065
Phone: 2129067798

JESSICA MARIE DIAZ (NPI# 1063926517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063926517
Entity Type Individual
Full Name JESSICA MARIE DIAZ
Credential PHYSICIAN ASSISTANT
Practice Address 201 E 65th St
New York
NY 10065
Mailing Address 105 E 117th St Apt 1f
New York
NY 10035-4606
Practice Telephone 2129067798
Mailing Telephone 3472744940
Enumeration Date 2017-11-20
Last Update Date 2018-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 021671 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
021671 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 10th Ave Ste 10c, New York, NY 100191147 2125234000

Other Providers JESSICA DIAZ

NPI Name Taxonomy Address Enumeration
1023518719 Jessica Itzel Diaz Registered Nurse 323 Rocky Lane Dr, Midland, TX 79703-6063 2018-02-19
1306354683 Jessica L Diaz Counselor 1224 Laurel St, Indianapolis, IN 46203-1908 2018-01-20
1366841306 Jessica Lisbet Diaz Counselor 901 W Victoria St. Suite F & G, Compton, CA 90220 2014-08-15
1689272718 Jessica Brittney Diaz Rehabilitation Practitioner 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 2020-10-12
1164048443 Jessica Grace Diaz Behavior Technician 2820 W Charleston Blvd Ste 22, Las Vegas, NV 89102-1933 2020-06-22
1184282303 Jessica Diaz Counselor 145 E Deer Flat Rd, Kuna, ID 83634-1323 2019-06-03
1174086425 Jessica Diaz Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 125, Minneapolis, MN 55455 2019-04-12
1154899474 Jessica Michelle Diaz Counselor 600 W Manchester Ave, Los Angeles, CA 90044-5770 2018-11-05
1083117956 Jessica Monique Diaz Counselor 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 2018-03-16
1548772585 Jessica Diaz Rehabilitation Practitioner 3731 Stocker St, View Park, CA 90008-5118 2017-10-31

Office Location

Street Address 201 E 65TH ST
City NEW YORK
State NY
Zip Code 10065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093719668 Sunanda Chugh Internal Medicine 201 E 65th St, New York, NY 10065-6701 2005-06-10
1912514589 Dream Medical Pllc Anesthesiology 201 E 65th St, New York, NY 10065-6701 2020-09-28
1437632247 Carli Marie Johnston Physician Assistant 201 E 65th St, New York, NY 10065-6701 2018-09-09
1629563259 Anisha Patel Internal Medicine 201 E 65th St, New York, NY 10065 2018-06-26
1578058574 Whitney Winnifred Phillips Physician Assistant 201 E 65th St, New York, NY 10065-6701 2018-06-22
1366954422 Christi Vannilam Cherian Physician Assistant 201 E 65th St, New York, NY 10065 2017-10-30
1447769161 Stephanie Youlios Physician Assistant 201 E 65th St, New York, NY 10065-6701 2017-09-26
1497158372 Katherine Primavera Physician Assistant 201 E 65th St, New York, NY 10065-6701 2014-10-06
1740683622 Lily Grobman Physician Assistant 201 E 65th St, New York, NY 10065-6701 2014-10-06
1821491838 Hong Danh Ngo Family Medicine 201 E 65th St, New York, NY 10065-6701 2014-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699372706 Anna Jane Dare Student in an Organized Health Care Education/Training Program 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 2020-10-02
1609480987 Kimberly Ann Oppenheim Physician Assistant 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 2020-09-03
1043829252 Bridget Maginity Physician Assistant 1283 York Ave 14th Floor, New York, NY 10065 2020-07-24
1154948016 Andrew Timothy Mclean Student in an Organized Health Care Education/Training Program Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 2020-06-26
1972128700 Seeminder Brar Anesthesiology Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 2020-06-08
1114548245 Mohamed Medhat Soliman Student in an Organized Health Care Education/Training Program 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 2020-04-29
1700417672 Carlos Henrique Dos Anjos Internal Medicine 300 E 66th St, New York, Ny, New York, NY 10065 2020-01-30
1134788557 Marvin Herbert Braun Student in an Organized Health Care Education/Training Program Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 2019-06-10
1356907356 Andrew Garton Student in an Organized Health Care Education/Training Program New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 2019-05-15
1104481845 Rana Abualsaud Student in an Organized Health Care Education/Training Program New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 2019-05-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205442852 Connor King Physician Assistant 25 W 16th St, New York, NY 10011-6364 2020-09-18
1043826084 Stephen Roa Physician Assistant 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 2020-09-16
1710592951 Krishna Patel Physician Assistant 425 W 59th St Ste 4f, New York, NY 10019-8022 2020-09-14
1235744764 Jennifer Thien Trang Vu Physician Assistant 550 W 45th St Apt 233, New York, NY 10036-3771 2020-09-11
1609480987 Kimberly Ann Oppenheim Physician Assistant 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 2020-09-03
1043829252 Bridget Maginity Physician Assistant 1283 York Ave 14th Floor, New York, NY 10065 2020-07-24
1952928459 Judy Phung Physician Assistant 1 Pace Plz, New York, NY 10038-1502 2020-06-30
1417579871 Mary Elizabeth Walsh Physician Assistant 1790 Broadway Fl 8, New York, NY 10019-1412 2020-05-08
1134748874 Andrew Nitz Physician Assistant 50 W 34th St Apt 20b6, New York, NY 10001-3092 2020-04-13
1134758691 Morgan Ammori Physician Assistant 570 Lexington Ave Fl 9, New York, NY 10022-6710 2020-04-06
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Competitor

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City NEW YORK
Zip Code 10065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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