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

Jessica Marie Diaz, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1063926517

Jessica Marie Diaz, PHYSICIANASSISTANT is a Surgical Physician Assistant in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

201 E 65th St
New York, NY 10065
Phone: (212) 906-7798
Show map & directions

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

Additional practice locations (1)

  • 1000 10th Ave Ste 10c, New York, NY 10019-1147 — (212) 523-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021671 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 021671 (NY)

Record details

NPI number1063926517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESAugust 30, 2018

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