Agustin Diaz


Address: 433 57th St, West New York, NJ 07093-2119

Agustin Diaz (NPI# 1174582720, PAC ID# 1153366067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1174582720
PAC ID by PECOS 1153366067
Professional Enrollment ID I20050622000159
Full Name Agustin Diaz
Address 433 57th St
West New York
NJ 07093-2119
Gender M
Credential MD
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310045 ENGLEWOOD HOSPITAL AND MEDICAL CENTER
310003 HACKENSACKUMC PALISADES
310008 HOLY NAME MEDICAL CENTER
310001 HACKENSACK UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
24 Elm St, Suite 203, Harrington Park, NJ 07640-1902 2017840123 MEDICAL ASSOCIATES OF ENGLEWOOD PC
433 57th St, West New York, NJ 07093-2119

Organization Information

Office Location

Street Address 433 57TH ST
City WEST NEW YORK
State NJ
Zip 07093-2119

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Competitor

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City WEST NEW YORK
Zip Code 07093
Specialty INTERNAL MEDICINE
City + Specialty WEST NEW YORK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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