Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Thomas Diaz, MD

Individual provider Internal Medicine Physician · NPI 1073771556

Dr. Keith Thomas Diaz, MD is an Internal Medicine in Staten Island, New York. Qualified in 2004, 22 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

682 Forest Ave
Staten Island, NY 10310-2507
Phone: (347) 575-9865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 245968 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 245968 (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 245968 (NY)

Record details

NPI number1073771556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2008
Last updated in NPPESSeptember 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Staten Island