Individual provider Active NPI

Eli Narciso Avila, MD, JD, MPH

  • Occupational Medicine Physician
  • Watervliet, NY
National Provider Identifier
1548401573
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
171294 Issued in NY
Practice address
1 Buffington St BLDG 40-4
Watervliet, NY 12189-4050
Phone
(518) 266-4195
Fax
(518) 266-4547
NPI assigned
Mar 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine (M.D./D.O.) Physician 209800000X 171294 NY
Occupational Medicine Physician 2083X0100X 171294 NY Primary

Addresses

Primary practice location

1 Buffington St BLDG 40-4
Watervliet, NY 12189-4050

Mailing address

1 Buffington St BLDG 40-4
Watervliet, NY 12189-4050
Phone (518) 266-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171294NYMDOccupational Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1548401573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUFFINGTON ST BLDG 40-4",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121894050",
            "telephone_number": "518-266-4195",
            "fax_number": "518-266-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUFFINGTON ST BLDG 40-4",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121894050",
            "telephone_number": "518-266-4195",
            "fax_number": "518-266-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ELI",
        "middle_name": "NARCISO",
        "name_prefix": "Dr.",
        "credential": "MD, JD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-21",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "171294",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "171294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.