Mr. Jonathan M Diaz
Physical Therapy Assistant in Boonton, New Jersey
1063129237- Practice location
- 315 Wootton St Ste J, Boonton, NJ 07005-1900
- Phone
- 973-794-6040
- Fax
- —
- Last updated
- May 14, 2025
Jonathan Martin Diaz is a Physical Therapy Assistant based in Boonton, NJ. Jonathan Martin Diaz practices in Boonton, NJ. The NPI Number for Jonathan Martin Diaz is 1063129237 and holds a License No. 40QB00378400 (NJ). The current practice location address for Jonathan Martin Diaz is 315 Wootton St Ste J, Boonton, NJ 07005-1900 and can be reached out via phone at 973-794-6040.
Provider Profile Details
- NPI Number
- 1063129237
- Provider Name
- Jonathan Martin Diaz
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 315 Wootton St Ste J, Boonton, NJ 07005-1900
- Phone Number
- 973-794-6040
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 27, 2022
- Last Update Date
- May 14, 2025
- Certification Date
- May 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 315 Wootton St Ste J
Boonton, NJ 07005-1900 - City
- Boonton
- State
- New Jersey
- Zip
- 07005-1900
- Phone Number
- 973-794-6040
Provider Business Mailing Address Details
- Address
- 71 Mountain Ave
Haledon, NJ 07508-1666 - City
- Haledon
- State
- NJ
- Zip
- 07508-1666
- Phone Number
- 973-897-6496
License Information
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 40QB00378400
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jonathan M Diaz?
The NPI number of Mr. Jonathan M Diaz is 1063129237. It was assigned on October 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Jonathan M Diaz?
Mr. Jonathan M Diaz is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00378400.
Where does Mr. Jonathan M Diaz practice?
The practice location is 315 Wootton St Ste J, Boonton, NJ 07005-1900. The office can be reached at 973-794-6040 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063129237 directly on the NPPES registry website.