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JAILYN DIAZ
NPI 1053291112
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since September 08, 2025
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375(212) 804-7659 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jailyn Diaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAILYN DIAZ (NPI 1053291112) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1053291112
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAILYN DIAZ
Location Address11655 QUEENS BLVD STE 216Forest Hills, NY 11375-6527
Mailing Address11655 Queens Blvd Ste 216Forest Hills, NY 11375-6527 · (212) 804-7659
Phone(212) 804-7659
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1053291112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11655 QUEENS BLVD STE 216, Forest Hills, NY 11375
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CAMPOS JIMENEZ
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
ETHAN JOEL HADDAD
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JEMYCHELLE TODOROVICH
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
KHYLAR SANDERS
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
REBECCA KIM
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
DELL WEDNESDAE TANGENTE
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 470-1382
TRICIA HARRELL
Behavior Analyst
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JADE CLEMONS
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jailyn Diaz's NPI number?

The NPI number for Jailyn Diaz is 1053291112. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Jailyn Diaz located?

Jailyn Diaz practices at 11655 Queens Blvd Ste 216, Forest Hills, NY 11375. The listed phone number is (212) 804-7659.

What is Jailyn Diaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jailyn Diaz was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.