What is Jaclyn Avenilov's NPI number?

Jaclyn Avenilov's National Provider Identifier (NPI) is 1063764470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jaclyn Avenilov's specialty?

Jaclyn Avenilov is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jaclyn Avenilov located?

Jaclyn Avenilov's practice location on file with NPPES is 2843 Bragg St, Brooklyn, NY 11235-1101.

What is Jaclyn Avenilov's phone number?

The practice phone number listed in the NPPES registry for Jaclyn Avenilov is (718) 362-0908.

Is Jaclyn Avenilov's NPI active?

Yes — Jaclyn Avenilov's NPI (1063764470) is active in the NPPES registry as of the last update on 2012-10-09.

IndividualActive

Jaclyn Avenilov

NPI 1063764470 · Specialist · Brooklyn, NY

Jaclyn Avenilov is a Specialist provider in Brooklyn, NY (NPI 1063764470).

Provider details

NPI number: 1063764470
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 608851121 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 608851121 (NY)
Other Service Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2843 Bragg St

Brooklyn, NY 11235-1101

Phone: (718) 362-0908

Street-level locationGet directions

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Mailing address