Tyler John Duggan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00483800 Issued in NJ

Practice address

1117 Route 46 Ste 301
Clifton, NJ 07013-2450

Phone

(973) 270-9906

NPI assigned

Aug 2, 2018

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Garden State Pain Control Center PAGroup PAC ID 4385624485, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Garden State Pain Control Center P.a.

  • Specialist
  • Clifton, NJ
  • NPI 1891869475
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1205314028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MILTON PL APT B",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 301",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "telephone_number": "973-270-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00483800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Mae Dublanica, L.C.S.W
• Andrew John Dubyna, L.AC.
• Lawrence Patrick Duca Jr., D.M.D.
• Roberta Ducci, RPH
• Dorothy Anne Duffy
• Abena Serwaah Duncan
• Timothy Dunn, LCSW, LCADC
• Esther East, LCSW
• Eastern Dental of Passaic Essex, LLC
• Jonathan Ebrahim, DDS

• Physician Assistant in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.