Individual provider · Type 1 NPI
Tyra White, MD
Adult Medicine Physician · Somerset, NJ
NPI number
1396327136
Active
Practice location
454 Elizabeth Ave Ste 210
Somerset, NJ 08873-5111
Mailing address
1000 Galloping Hill Rd Ste 108
Union, NJ 07083-7989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA11977700 (NJ) |
| Adult Medicine Physician Primary | 207QA0505X | 25MA11977700 (NJ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Somerset
About NPI 1396327136
Tyra White, MD's National Provider Identifier is 1396327136, issued on Apr 21, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Somerset, NJ. The record was last updated on Aug 11, 2025.