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AVILA T JACKSON DPM
NPI 1811196488
Podiatrist - Primary Podiatric Medicine in Richmond Hill, NY

Active since July 13, 2007
86-41 LEFFERTS BLVD., RICHMOND HILL, NY 11418(718) 849-3338(718) 849-3166 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avila T Jackson Dpm NPPES

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

AVILA T JACKSON DPM (NPI 1811196488) is an individual primary podiatric medicine provider in Richmond Hill, New York, licensed in New York (006459) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1811196488
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameAVILA T JACKSONCredential: DPM
Location Address86-41 LEFFERTS BLVD.Richmond Hill, NY 11418
Mailing Address86-41 Lefferts BlvdRichmond Hill, NY 11418 · (718) 849-3338 · Fax (718) 849-3166
Phone(718) 849-3338
Fax(718) 849-3166
Sole ProprietorNo
Enumeration DateJuly 13, 2007
Last NPPES UpdateMay 31, 2012
✔ NPI 1811196488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Licenses✔ Licensed in NY · 006459✔ Licensed in MI · 5901002248
86-41 LEFFERTS BLVD., Richmond Hill, NY 11418
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Other Names 1

Other Name (5)Avia Terrell Jackson Dpm.

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 Avila Jackson's NPI number?

The NPI number for Avila Jackson is 1811196488. It was assigned to this individual provider in the NPPES registry on July 13, 2007. The provider is also known as Avia Terrell Jackson Dpm..

Where is Avila Jackson located?

Avila Jackson practices at 86-41 Lefferts Blvd., Richmond Hill, NY 11418. The listed phone number is (718) 849-3338.

What is Avila Jackson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Avila Jackson was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.