MR. JONATHAN MARTIN DIAZ
NPI 1063129237
Physical Therapy Assistant in Boonton, NJ
About Mr. Jonathan Martin Diaz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JONATHAN MARTIN DIAZ (NPI 1063129237) is an individual physical therapy assistant in Boonton, New Jersey, licensed in New Jersey (40QB00378400) and active in the NPI registry since October 2022. He maintains a secondary practice location in Maywood and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jonathan Martin Diaz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Franklin Lakes, NJ 07417
- Reassigned Medicare billing, New Jersey enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jonathan Diaz's NPI number?
The NPI number for Jonathan Diaz is 1063129237. It was assigned to this individual provider in the NPPES registry on October 27, 2022.
Where is Jonathan Diaz located?
Jonathan Diaz practices at 315 Wootton St Ste J, Boonton, NJ 07005. The listed phone number is (973) 794-6040.
What is Jonathan Diaz's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
Is Jonathan Diaz enrolled in Medicare?
Yes. Jonathan Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jonathan Diaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Diaz reassigns Medicare benefits to Kayal Medical Group, LLC (Franklin Lakes, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Diaz was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.