Jennifer Diaz, MD

Individual Active
NPI 1053636431
Allergy & Immunology Physician Port Jefferson Station, NY

NPI 1053636431 belongs to Jennifer Diaz, MD, an allergy & immunology physician with a practice location in Port Jefferson Station, NY. The NPI was issued on March 29, 2010, and the record was last updated in NPPES on April 2, 2019. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X 251188 (NY)
Pediatrics Physician 208000000X 2511881 (NY)

Practice location

1500 Route 112
Bldg. 4 - 2nd Floor
Port Jefferson Station, NY 11776-8054
Phone: (631) 828-7001

Local context

Active NPPES records list 63 providers with allergy & immunology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 15 of them within 10 miles.

The same primary taxonomy is listed by 424 in New York and 5,559 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jennifer Marie Diaz
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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