IndividualActive
Jackson Topaz
NPI 1245993450 · Peer Specialist · Coram, NY
Jackson Topaz is a Peer Specialist provider in Coram, NY (NPI 1245993450).
Provider details
- NPI number
- 1245993450
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8500
Street-level locationGet directions
Mailing address
14202 20th Ave Fl 3
Flushing, NY 11351-3000
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Frequently asked questions
- What is Jackson Topaz's NPI number?
- Jackson Topaz's National Provider Identifier (NPI) is 1245993450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Topaz's specialty?
- Jackson Topaz is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jackson Topaz located?
- Jackson Topaz's practice location on file with NPPES is 3600 Route 112, Coram, NY 11727-4116.
- What is Jackson Topaz's phone number?
- The practice phone number listed in the NPPES registry for Jackson Topaz is (631) 920-8500.
- Is Jackson Topaz's NPI active?
- Yes — Jackson Topaz's NPI (1245993450) is active in the NPPES registry as of the last update on 2021-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.