Michelle L Diaz, PA-C
Physician Assistant, Medical in Hackensack, NJ. Individual provider (NPI-1).
NPI number1154501427
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1154501427
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle L Diaz
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2007
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 25MP00338800 | NJ | Yes |
Practice location
30 Prospect Ave Radiology DeptHackensack, NJ 07601-1915
Phone 201-488-2660
Mailing address
130 Kinderkamack Rd Ste 200River Edge, NJ 07661-1951
Phone 201-488-2660
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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