MEDICARE: DIANELYS M GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1356206759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANELYS M GARCIA

Provider Business Mailing Address
First Line	:	414 EDGEWOOD RD
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-5322
Country	:	US
Telephone Number	:	908-510-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1556
Country	:	US
Telephone Number	:	301-593-5595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	05/28/2026

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1770580607 — DR. BARRY MICHAEL RUBIN M.D.
Practice Location Address:

10801 LOCKWOOD DR , #200
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1508854555 — RICHARD E BROTH M.D
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10801 LOCKWOOD DR , SUITE 300
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1477534063 — CHARLES KENNETH TRAVERS MD
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10801 LOCKWOOD DR , STE 320
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1730161522 — JESSICA BERGER-WEISS MD
Practice Location Address:

10801 LOCKWOOD DR , STE 320
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1275510257 — DR. MILTON KOCH M.D.
Practice Location Address:

10801 LOCKWOOD DR
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1366415077 — DR. KATHLEEN M KADOW M.D., M.P.H.
Practice Location Address:

10801 LOCKWOOD DR , SUITE 325
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Directions to “ DIANELYS M GARCIA ” Practice Location

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