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Deactivated NPI 1306190087 Deactivated / Inactive NPI Female Practitioner

Sandra Altagracia Diaz

Custodial Care Facility • Paterson, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Diaz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2012
NPI Deactivation Date March 27, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Sandra Diaz was a registered Custodial Care Facility practicing in Paterson, NJ. Throughout an active medical career spanning 5 years, Sandra Diaz provided care at the practice location at 778 MADISON AVE until profile deactivation on 2017-03-27.

Practice Location & Contact Primary Location

Practice Address

778 Madison Ave
First Floor

Paterson, NJ 075012409

Telephone 9733454998
Fax 9733454998
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Custodial Care Facility in Paterson, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Paterson, NJ (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Custodial Care Facility Primary Specialty

NUCC Taxonomy Code: 311Z00000X

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2017

Record deactivated on March 27, 2017

NPI Profile Active November 02, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2012

Registered at 778 MADISON AVE, FIRST FLOOR, PATERSON, NJ 075012409 (Tel: 9733454998)

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Updated Business Mailing Address November 02, 2012

Registered at 794 MADISON AVE, SECOND FLOOR, PATERSON, NJ 075012409

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Provider Name / Credentials Updated November 02, 2012

Recorded as SANDRA DIAZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2012

Custodial Care Facility

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Initial NPI Registration & Enumeration November 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306190087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2012
Last Update: November 02, 2012
Deactivation Date: March 27, 2017

Mailing Address

794 Madison Ave, Second Floor

Paterson, NJ 075012409

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.