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MRS. JENNIFER DIAZ PA-C
NPI 1821955279
Physician Assistant in Glen Cove, NY

Active since January 07, 2026
235 FOREST AVE, GLEN COVE, NY 11542(516) 463-6600 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Mrs. Jennifer Diaz Pa-c NPPES

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

MRS. JENNIFER DIAZ PA-C (NPI 1821955279) is an individual physician assistant in Glen Cove, New York, licensed in New York (035840) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1821955279
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNIFER DIAZCredential: PA-C
Location Address235 FOREST AVEGlen Cove, NY 11542-2034
Mailing Address34 Weston StHuntington Station, NY 11746-4031
Phone(516) 463-6600
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1821955279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 035840
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
235 FOREST AVE, Glen Cove, NY 11542
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Other Names 1

Other Name (5)Mrs. Jennifer Fellin Pa-c

Other Providers at the Same Location NPPES 6

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

787 MEDICAL PC
Integrative Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (718) 285-7023
PETER J. KURZWEIL, M.D., P.C.
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
DR. PETER J KURZWEIL MD
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
NORTH NASSAU MEDICAL ASSOCIATES
Clinic/Center (Primary Care)
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
DR. KHAWAJA ASIM SIDDIQUE MD
Family Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
CRESCENT INTEGRATIVE MEDICAL PLLC
Family Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770

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 Jennifer Diaz's NPI number?

The NPI number for Jennifer Diaz is 1821955279. It was assigned to this individual provider in the NPPES registry on January 7, 2026. The provider is also known as Mrs. Jennifer Fellin Pa-C.

Where is Jennifer Diaz located?

Jennifer Diaz practices at 235 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 463-6600.

What is Jennifer Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Diaz was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.