Individual provider Active NPI

Tyler Cody Holsapple, MD

  • Family Medicine Physician
  • Millburn, NJ
National Provider Identifier
1023514833
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11366600 Issued in NJ
Practice address
284 Millburn Ave
Millburn, NJ 07041-1622
Phone
(973) 912-7273
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 74990 WI
Emergency Medicine Physician 207P00000X 25MA11366600 NJ
Family Medicine Physician 207Q00000X 25MA11366600 NJ Primary

Addresses

Primary practice location

284 Millburn Ave
Millburn, NJ 07041-1622

Mailing address

284 Millburn Ave
Millburn, NJ 07041-1622
Phone (973) 912-7273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210723000077 WI Practitioner - Emergency Medicine 1254734692 Reassigns benefits to 1 organization
I20220921000940 NJ Practitioner - Family PracticePractitioner - Emergency Medicine 1254734692 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

33 Overlook Rd
L01
Summit, NJ 07901-3561
Phone (908) 522-5700

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Emergency Medicine CurrentSince May 5, 2025 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Oct 2, 2023 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 6, 2022 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 6, 2022 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Sep 1, 2023 Accepting new patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jan 24, 2024 Accepting new patients
William R. Collini, M.D., P.a. PastSince Aug 1, 2022 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

138 River Dr S
Jersey City, NJ 07310
Phone (201) 309-3000

284 Millburn Ave
Millburn, NJ 07041
Phone (973) 912-7273

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

181 High St
Newton, NJ 07860
Phone (973) 383-9898

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

33 Overlook Rd
Ste 103
Summit, NJ 07901
Phone (908) 522-5700

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

Interoperability endpoints

  • Direct secure messaging: tholsapple132267@direct.ahsys.org
  • Direct secure messaging: tholsapple652703@direct.gundersenhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1023514833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411622",
            "telephone_number": "973-912-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411622",
            "telephone_number": "973-912-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSAPPLE",
        "first_name": "TYLER",
        "middle_name": "CODY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "74990",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA11366600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11366600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.