JESSICA DIAZ NP NPI 1568235331

NPI Information

  • NPI: 1568235331
  • Provider Name: JESSICA DIAZ, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 MALTESE DR
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (845) 342-4774

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NPI Details

Jessica Diaz, NP is a family nurse practitioner in Middletown, NY with 2 years of experience. Jessica Diaz, NP NPI is 1568235331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 MALTESE DR
MIDDLETOWN, NY
ZIP 10940-141
Phone: (845) 342-4774

The NPI 1568235331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2023 and was last updated on 7/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse657264NEW YORKNo
2363LF0000XNurse PractitionerFamily356845NEW YORKYes
3363LA2200XNurse PractitionerAdult Health311727NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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