Provider Demographics
NPI:1295622132
Name:CARAPEZZI, TYLER
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:CARAPEZZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TYLER
Other - Middle Name:
Other - Last Name:KINGFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:314 W PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2100
Mailing Address - Country:US
Mailing Address - Phone:908-577-1565
Mailing Address - Fax:
Practice Address - Street 1:331 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1429
Practice Address - Country:US
Practice Address - Phone:201-488-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker