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Search › New Jersey › 1223S0112X

Tyler Jacobs

NPI 1760007835 · on the registry since 2020

Practice

Address
110 Bergen St
Newark, NJ 07103
Phone
(973) 972-4242
Organisation at this address
Univ Of Med & Dent Of Nj
Rutgers School Of Dental Medicine
Rutgers School Of Dental Medicine
Rutgers University Diagnostic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Additional practice sites

  • 1220 State Route 31 Ste 11, Lebanon, NJ
  • 50 Division St Ste 301, Somerville, NJ

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey