Tyla Archer

Individual provider Active NPI Case Manager/Care Coordinator · Piscataway, NJ

NPI 1265232292 · NPPES record last updated Mar 18, 2025

Key facts

NPI
1265232292
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
671 Hoes LN W
Piscataway, NJ 08854-8021
Phone
(723) 235-3289
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

671 Hoes LN W
Piscataway, NJ 08854-8021

Mailing address

671 Hoes LN W
Piscataway, NJ 08854-8021

Other providers in Piscataway, NJ

All providers in Piscataway, NJ · Case Manager/Care Coordinator in New Jersey

Sources for this page

Verify at the official NPI Registry.