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

Jackson Topaz

Individual provider Peer Specialist · NPI 1245993450

Jackson Topaz is a Peer Specialist in Coram, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1245993450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address14202 20th Ave Fl 3, Flushing, NY 11351-3000

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