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DR. JON CRAIG TYL DMD FAGD
NPI 1235163304
Dentist - General Practice in Princeton, NJ

Active since July 11, 2006Opted out of Medicare · through Sep 25, 2027
601 EWING STREET, SUITE B15, PRINCETON, NJ 08540(609) 921-0034(609) 497-2722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon Craig Tyl Dmd Fagd NPPES

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

DR. JON CRAIG TYL DMD FAGD (NPI 1235163304) is an individual general practice provider in Princeton, New Jersey, licensed in New Jersey (14243) and active in the NPI registry since July 2006. He has opted out of Medicare through September 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235163304
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JON CRAIG TYLCredential: DMD FAGD
Location Address601 EWING STREET, SUITE B15Princeton, NJ 08540
Mailing Address601 Ewing Street, Suite B15Princeton, NJ 08540 · (609) 921-0034 · Fax (609) 497-2722
Phone(609) 921-0034
Fax(609) 497-2722
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235163304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 14243
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
601 EWING STREET, Princeton, NJ 08540
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jon Craig Tyl Dmd Fagd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2015 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2015
Opt-Out In Effect ThroughSeptember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCER KIDNEY & HYPERTENSION, LLC
Internal Medicine (Nephrology)
601 EWING STREET, SUITE C-7
PRINCETON, NJ 08540
Mercer County (609) 688-0710
MRS. TERI ANN CHERESNICK LCSW, LCADC
Social Worker (Clinical)
601 EWING STREET, SUITE C-14
PRINCETON, NJ 08540
Mercer County (267) 742-2466
APARNA SAHOO DO
Internal Medicine (Nephrology)
601 EWING STREET, SUITE C-7
PRINCETON, NJ 08540
Mercer County (609) 688-0710
PRINCETON EYE INSTITUTE PA
Ophthalmology
601 EWING STREET, C-15
PRINCETON, NJ 08540
Mercer County (609) 921-2300
YANA MARKIDAN MD
Obstetrics & Gynecology
601 EWING STREET, BUILDING C, SUITE C13
PRINCETON, NJ 08540
Mercer County (609) 683-3661
CYNTHIA DUNHAM MD
Ophthalmology
601 EWING STREET, C-15
PRINCETON, NJ 08540
Mercer County (609) 921-2300
MS. BARBARA J ANDREW MSW LCSW LMFT
Marriage & Family Therapist
601 EWING STREET, SUITE C9
PRINCETON, NJ 08540
Mercer County (609) 683-0401
RAFAEL C. CASTRO, M.D., P.A.
Internal Medicine
601 EWING STREET, SUITE C-18
PRINCETON, NJ 08540
Mercer County (609) 924-1331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Tyl's NPI number?

The NPI number for Jon Tyl is 1235163304. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jon Tyl located?

Jon Tyl practices at 601 Ewing Street Suite B15, Princeton, NJ 08540. The listed phone number is (609) 921-0034.

What is Jon Tyl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jon Tyl enrolled in Medicare?

No. Jon Tyl has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jon Tyl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.