JENNIFER MARIE DIAZ (NPI# 1053636431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053636431 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE DIAZ |
| Credential | MD |
| Practice Address |
1500 Route 112 Bldg. 4 - 2nd Floor Port Jefferson Station NY 11776-8054 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 6318287001 |
| Practice Fax Number | 6319280185 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 251188 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2511881 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROAD MEDICARE PIN | P01438980 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841811809 | Jennifer Diaz | Specialist/Technologist, Other | 1906 Robin Ln, Garland, TX 75042-8232 | 2020-04-30 |
| 1497399257 | Jennifer Hulsha Diaz | Social Worker | 9645 Arrow Rte Unit 5, Rancho Cucamonga, CA 91730-4554 | 2019-11-04 |
| 1366009573 | Jennifer Diaz | Behavior Technician | 3342 W 90th Ter, Hialeah, FL 33018-2007 | 2019-05-22 |
| 1497272389 | Jennifer Diaz | Behavior Technician | 539 Castlehill Dr, Walnut, CA 91789 | 2017-08-23 |
| 1447634258 | Jennifer Diaz | Licensed Vocational Nurse | 113 E F Street, Tehachapi, CA 93561 | 2015-07-13 |
| 1881035772 | Jennifer Diaz | Massage Therapist | 3429 Andrita St, 1, Los Angeles, CA 90065-2952 | 2013-07-09 |
| 1669730792 | Jennifer Diaz | Licensed Practical Nurse | 44 Gray St, Rochester, NY 14609-2234 | 2012-04-26 |
| 1093096802 | Jennifer M Diaz | Pharmacist | 82 Hoyt St, Stamford, CT 06905-5701 | 2011-09-07 |
| 1922308428 | Jennifer Diaz | Licensed Practical Nurse | 393 Evergreen Ave, Central Islip, NY 11722-1906 | 2010-10-30 |
| 1952515215 | Jennifer Diaz | Social Worker | 5125 N 16th St, Suite A-102, Phoenix, AZ 85016-3907 | 2007-05-09 |
| Street Address |
1500 ROUTE 112 BLDG. 4 - 2ND FLOOR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446726 | Jeffrey L Vacirca | Internal Medicine | 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 | 2005-06-13 |
| 1740807791 | Sarah Lynn Frisina | Audiologist | 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 | 2020-06-25 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1881134815 | Port Jefferson Asc, LLC | Clinic/Center | 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 | 2017-02-23 |
| 1538533344 | Jacqueline Schomber | Psychologist | 1500 Route 112, Bldg 6, Port Jefferson Station, NY 11776-8054 | 2015-11-17 |
| 1235551052 | Long Island Digestive Endoscopy Center, LLC | Clinic/Center | 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054 | 2014-01-14 |
| 1720326077 | Away From Home Senior Day Care | Custodial Care Facility | 1500 Route 112, Building 6, Suite A, Port Jefferson Station, NY 11776-8054 | 2013-01-22 |
| 1689800633 | Thomas P. Erhart Do PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 | 2009-06-04 |
| 1851527972 | Washington Park Women's Health PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 | 2009-06-03 |
| 1871763508 | Craig Michael Litman | Otolaryngology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891032132 | Joseph M Cassouto | Allergy & Immunology | 233 Village Green Dr, Port Jefferson Station, NY 11776-4532 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803293 | Medical Care of Queens Borough PC | Allergy & Immunology | 970 Bard Ave Fl 1, Staten Island, NY 10301-3322 | 2020-08-26 |
| 1396361192 | Integrative Medicine of New York, Pllc | Allergy & Immunology | 520 Franklin Ave Ste 230, Garden City, NY 11530-5878 | 2020-06-18 |
| 1225669559 | Reenal Patel Md PC | Allergy & Immunology | 10-17 Jackson Avenue, Long Island City, NY 11101-5986 | 2020-01-27 |
| 1801447388 | Akl Medical PC | Allergy & Immunology | 2626 W State St Ste 205, Olean, NY 14760-1858 | 2019-09-25 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1932618923 | Sheila W Hankin | Allergy & Immunology | 200 S Broadway Ste 104, Tarrytown, NY 10591-4504 | 2017-09-22 |
| 1235653007 | Marc Braunstein Md Pllc | Allergy & Immunology | 540 Green Pl, Woodmere, NY 11598-1923 | 2017-08-02 |
| 1194119305 | Roshini Mullakary | Allergy & Immunology | 1600 Harrison Ave Ste 304, Mamaroneck, NY 10543-3151 | 2015-03-25 |
| 1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
| 1659786440 | Robert Tamayev | Allergy & Immunology | 7949 Myrtle Ave, Glendale, NY 11385-7451 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| 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.