Jennifer Marie Diaz, MD is a medicare enrolled "Allergy & Immunology" physician in Port Jefferson Station, New York. Her current practice location is
1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 828-7001.
Jennifer Marie Diaz is licensed to practice in New York (license number 251188) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053636431.
Physician's Profile
Full Name | Jennifer Marie Diaz |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1500 Route 112, Port Jefferson Station, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Marie Diaz attended and graduated from in
NPI Data:
- NPI Number: 1053636431
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 04/02/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jennifer Marie Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053636431 | NPI | - | NPPES |
P01438980 | Other | NY | RAILROAD MEDICARE PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2511881 (New York) | Secondary |
207K00000X | Allergy & Immunology | 251188 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Marie Diaz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Marie Diaz, MD 660 White Plains Rd Fl 4, Tarrytown, NY 10591-5139 Ph: (914) 984-2546 | Jennifer Marie Diaz, MD 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 Ph: (631) 828-7001 |
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