Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Avian L. Tisdale, MD

Individual provider Emergency Medicine Physician · NPI 1740297076

Dr. Avian L. Tisdale, MD is an Emergency Medicine Physician in Atlantic City, New Jersey. Licensed in New Jersey and Texas. Registered with an NPI since 2006.

Licensed in
NJ, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone: (609) 441-8087
Fax: (302) 651-4945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R7343 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25MA08575900 (NJ)
Hospitalist Physician Taxonomy 208M00000X · Licence 25MA08575900 (NJ)

Record details

NPI number1740297076
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

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