NICHOLAS A DIAZ DO
NPI 1922635549
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Nicholas Diaz's NPI number?

The NPI number for Nicholas Diaz is 1922635549. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Nicholas Diaz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Diaz was last updated on March 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2020PECOS Enrolled

4422 3RD AVE, BRONX, NY 10457(718) 960-9000 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicholas A Diaz Do NPPES

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

NICHOLAS A DIAZ DO (NPI 1922635549) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922635549

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS A DIAZCredential: DO

Location Address4422 3RD AVEBronx, NY 10457-2545

Mailing Address5922 68th AveRidgewood, NY 11385-4442 · (239) 250-4784

Phone(718) 960-9000

Sole ProprietorNo

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1922635549 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.

4422 3RD AVE, Bronx, NY 10457

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas A Diaz Do 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.

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