PRISCILA PENA DIAZ DDS
NPI 1649025727
Dentist - General Practice in West New York, NJ

Q: What is Priscila Pena Diaz's NPI number?

The NPI number for Priscila Pena Diaz is 1649025727. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Priscila Pena Diaz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 22, 2024PECOS Enrolled

5301 BROADWAY, WEST NEW YORK, NJ 07093(201) 866-9320 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Apr 22, 2024 (2 updates tracked since 2024).

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About Priscila Pena Diaz Dds NPPES

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

PRISCILA PENA DIAZ DDS (NPI 1649025727) is an individual general practice provider in West New York, New Jersey, licensed in New Jersey (22DI03076200) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649025727

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NamePRISCILA PENA DIAZCredential: DDS

Location Address5301 BROADWAYWest New York, NJ 07093-2622

Mailing Address49 Fisk St Apt P27Jersey City, NJ 07305-0017 · (786) 532-0468

Phone(201) 866-9320

Sole ProprietorYes

Enumeration DateApril 22, 2024

Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1649025727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22DI03076200

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5301 BROADWAY, West New York, NJ 07093

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priscila Pena Diaz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICOLE TERESA SANCHEZ APN

Nurse Practitioner (Family)