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

Jennifer Marie Diaz, MD

Individual provider Pediatrics Physician · NPI 1053636431

Jennifer Marie Diaz, MD is an Allergy/Immunology in Port Jefferson Station, New York. Graduated from New York Medical College in 2007, 19 years ago. Practices with ENT and Allergy Associates LLP, a 432-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
New York Medical College
Licensed in
NY
In the registry since
2010
Specialties on file
2
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

1500 Route 112 Bldg 4 - 2ND Fl
Port Jefferson Station, NY 11776-8054
Phone: (631) 828-7001
Fax: (631) 928-0185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 251188 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 2511881 (NY)

Record details

NPI number1053636431
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2010
Last updated in NPPESApril 2, 2019

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2007 (19 years in practice)
Group practice Ent And Allergy Associates Llp — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station