DR. KEITH THOMAS DIAZ (NPI# 1073771556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073771556 |
| Entity Type | Individual |
| Full Name | DR. KEITH THOMAS DIAZ |
| Credential | M.D. |
| Practice Address |
682 Forest Ave Staten Island NY 10310-2507 |
| Mailing Address |
474 Bedford Ave Staten Island NY 10306-5424 |
| Practice Telephone | 3475759865 |
| Mailing Telephone | 3475759865 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2014-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 245968 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
245968 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
245968 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
682 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972067 | Gianna Marie Giordano | Physician Assistant | 682 Forest Ave, Staten Island, NY 10310-2507 | 2019-06-21 |
| 1366005118 | Rosaria Ferranti | Nurse Practitioner | 682 Forest Ave, Staten Island, NY 10310-2507 | 2019-04-17 |
| 1346706801 | Rachel Lucente | Family Medicine | 682 Forest Ave, Staten Island, NY 10310-2507 | 2019-02-20 |
| 1306384896 | Megan Christina Saccente | Nurse Practitioner | 682 Forest Ave, Staten Island, NY 10310-2507 | 2017-02-06 |
| 1659637247 | Znahar Medical PC | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2012-04-08 |
| 1255663001 | Nanette Alexander-thomas Md | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2010-02-04 |
| 1992933519 | Azza Elemam | Internal Medicine | 682 Forest Ave, Staten Island, NY 10310-2507 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184979809 | Ziad Esper | Internal Medicine | 288 Slater Blvd, Staten Island, NY 10305-4046 | 2012-07-18 |
| 1679732507 | Sara B Ahmed | Internal Medicine | 2905 Hylan Boulevard, Staten Island, NY 10306-4653 | 2008-06-05 |
| 1629157516 | Medical Practice Associates Pllc | Internal Medicine | 235 Dongan Hills Avenue, Suite 2e, Staten Island, NY 10305 | 2006-11-03 |
| 1427007905 | Ralph John Ciccone IIi | Internal Medicine | 501 Seaview Avenue, Suite 102, Staten Island, NY 10305 | 2006-05-10 |
| 1023072709 | Ahmed Aly Abdelfadil | Internal Medicine | 5947 Amboy Rd., 2nd Fl., Staten Island, NY 10309-3118 | 2006-04-12 |
| 1780673244 | James L Bruno | Internal Medicine | 277 Nelson Ave, Staten Island, NY 10308-3204 | 2005-10-18 |
| 1598768905 | Adebambo Dolapo Olajitan | Internal Medicine | 800 Manor Rd, Suite #3, Staten Island, NY 10314-7034 | 2005-05-31 |
| 1790019198 | Metro Sleep Medicine PC | Internal Medicine | 800 Castleton Ave, Staten Island, NY 10310-1819 | 2009-10-01 |
| 1780895425 | Staten Island Pulmonary Assoc PC | Internal Medicine | 501 Seaview Ave, Suite 102, Staten Island, NY 10305-3400 | 2007-05-24 |
| 1902816051 | Fountain Pulmonary P.c | Internal Medicine | 800 Manor Rd, Suite 3, Staten Island, NY 10314-7034 | 2006-08-09 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.