Dr Avian L Tisdale, MD - Pediatrics in Atlantic City, NJ

Dr Avian L Tisdale, MD is a Pediatrics physician based in Atlantic City, New Jersey. Dr Avian L Tisdale is licensed to practice in Texas (license number R7343) and her current practice location is 1925 Pacific Ave., Atlantic City, New Jersey. She can be reached at her office (for appointments etc.) via phone at (609) 441-8087.

NPI number for Dr Avian L Tisdale is 1740297076 and her current mailing address is P.o. Box 191, Rockland, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740297076.

Contact Information

Dr Avian L Tisdale, MD
1925 Pacific Ave.,
Atlantic City, NJ 08401-6713
(609) 441-8087
(302) 651-4945



Physician's Profile

Full NameDr Avian L Tisdale
GenderFemale
SpecialityPediatrics
Location1925 Pacific Ave., Atlantic City, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740297076
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 03/18/2021

Medical Identifiers

Medical identifiers for Dr Avian L Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740297076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MA08575900 (New Jersey)Secondary
208M00000XHospitalist 25MA08575900 (New Jersey)Secondary
208000000XPediatrics R7343 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Avian L Tisdale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Avian L Tisdale, MD
P.o. Box 191,
Rockland, DE 19723-0191

Ph: (302) 651-4000
Dr Avian L Tisdale, MD
1925 Pacific Ave.,
Atlantic City, NJ 08401-6713

Ph: (609) 441-8087

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Pediatrics Doctors in Atlantic City, NJ

Dr. Kamaldeep Grewal, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Pediatrics-3rd Floor, Atlantic City, NJ 08401
Phone: 609-572-8522    
Dr. Cheryl A Kuponiyi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-601-6366    
Sue A. Mah, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    Fax: 609-572-8523
Alonso E. Concha Leon, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401
Phone: 609-345-4000    Fax: 609-572-8523
Dr. Rolando Q. Mallari, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401
Phone: 609-345-4000    
Peggy A Solomon-bergen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-572-0000    Fax: 609-572-0039
Dr. Edwin Lopez-bernard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401
Phone: 609-572-8686    Fax: 609-572-6033

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