SIAH GRACE TYLER APN
NPI 1649050964
Nurse Practitioner - Family in Newark, NJ
About Siah Grace Tyler Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIAH GRACE TYLER APN (NPI 1649050964) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ14851100) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Siah Grace Tyler Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Siah Tyler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 120 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bergen New Bridge Medical Center
Acute Care Hospitals · Paramus, NJCooperman Barnabas Medical Center
Acute Care Hospitals · Livingston, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Siah Tyler's NPI number?
The NPI number for Siah Tyler is 1649050964. It was assigned to this individual provider in the NPPES registry on October 3, 2023.
Where is Siah Tyler located?
Siah Tyler practices at 14 Halleck St, Newark, NJ 07104. The listed phone number is (862) 224-0395.
What is Siah Tyler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Siah Tyler enrolled in Medicare?
Yes. Siah Tyler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Siah Tyler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siah Tyler reassigns Medicare benefits to 2 organizations: Bergen County Improvement Authority (Paramus, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siah Tyler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siah Tyler accept?
Health plans from Oscar Health list Siah Tyler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Siah Tyler affiliated with any hospitals?
According to CMS data, Siah Tyler is affiliated with Bergen New Bridge Medical Center and Cooperman Barnabas Medical Center.
When was this NPI record last updated?
The NPPES record for Siah Tyler was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Siah Grace Tyler, APN · NPI 1649050964
Family physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since October 3, 2023.
## Identity
- **NPI:** 1649050964 (Entity type: Individual)
- **Enumerated:** October 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14851100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14 HALLECK ST, Newark, NJ 07104-3504
- **Phone:** (862) 224-0395
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bergen County Improvement Authority (NPI 1891836441, Paramus, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649050964) · Data from the CMS NPPES public registry.