DR. AVIAN L. TISDALE MD
NPI 1740297076
Pediatrics in Atlantic City, NJ

Active since August 01, 2006
1925 PACIFIC AVE., ATLANTIC CITY, NJ 08401(609) 441-8087(302) 651-4945 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Avian L. Tisdale Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVIAN L. TISDALE MD (NPI 1740297076) is an individual pediatrics provider in Atlantic City, New Jersey, licensed in Texas (R7343) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1740297076
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AVIAN L. TISDALECredential: MD
Location Address1925 PACIFIC AVE.Atlantic City, NJ 08401-6713
Mailing AddressP.o. Box 191Rockland, DE 19723-0191 · (302) 651-4000 · Fax (302) 651-4945
Fax(302) 651-4945
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1740297076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · R7343
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA08575900 (NJ)
Also ListedHospitalistTaxonomy 208M00000X · License 25MA08575900 (NJ)
1925 PACIFIC AVE., Atlantic City, NJ 08401

Other Names 1

Former Name (1)Dr. Avian West Md

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1925 PACIFIC AVE.
ATLANTIC CITY, NJ 08401
Internal Medicine (Cardiovascular Disease)
1925 PACIFIC AVE.
ATLANTIC CITY, NJ 08401
Nurse Practitioner
1925 PACIFIC AVE.
ATLANTIC CITY, NJ 08401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avian Tisdale's NPI number?

The NPI number for Avian Tisdale is 1740297076. It was assigned to this individual provider in the NPPES registry on August 1, 2006. The provider is also known as Dr. Avian West MD.

Where is Avian Tisdale located?

Avian Tisdale practices at 1925 Pacific Ave., Atlantic City, NJ 08401. The listed phone number is (609) 441-8087.

What is Avian Tisdale's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Avian Tisdale accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Avian Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avian Tisdale was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.