Individual provider · Type 1 NPI

Michelle L. Diaz, PA-C

Medical Physician Assistant · Hackensack, NJ

NPI number 1154501427 Active

Practice location

30 Prospect Ave Radiology Dept
Hackensack, NJ 07601-1915

Call (201) 488-2660 Map

Mailing address

130 Kinderkamack Rd Ste 200
River Edge, NJ 07661-1951

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00338800 (NJ)

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1154501427

Michelle L. Diaz, PA-C's National Provider Identifier is 1154501427, issued on Nov 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hackensack, NJ. The record was last updated on Sep 10, 2026.