DR. TYLER WEN JUDGE MD
NPI 1073364972
Student in an Organized Health Care Education/Training Program in White Plains, NY

Q: What is Tyler Judge's NPI number?

The NPI number for Tyler Judge is 1073364972. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Tyler Judge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Judge was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2024PECOS Enrolled

785 MAMARONECK AVE, WHITE PLAINS, NY 10605(914) 597-2500 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2026, Aug 14, 2024, Jul 5, 2024 (3 updates tracked since 2024).

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About Dr. Tyler Wen Judge Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER WEN JUDGE MD (NPI 1073364972) is an individual student in an organized health care education/training program in White Plains, New York and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073364972

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TYLER WEN JUDGECredential: MD

Location Address785 MAMARONECK AVEWhite Plains, NY 10605-2523

Mailing Address737 Sierra StEl Segundo, CA 90245-3129 · (310) 955-0029

Phone(914) 597-2500

Sole ProprietorNo

Enumeration DateMarch 28, 2024

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1073364972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

785 MAMARONECK AVE, White Plains, NY 10605

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Wen Judge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.