Tyler P. Sansone, PA-C
NPI 1689569683ActiveIndividual· Physician Assistant· Hackensack, NJ
Physician Assistant (PA-C) with New Jersey Brain and Spine PC, practicing in Hackensack, New Jersey. Enrolled in Medicare as practitioner - physician assistant. Lists Hackensack Meridian Health Pascack Valley Medical and 1 other hospital as hospital affiliations.
Overview
| NPI | 1689569683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 10, 2025 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | NJ |
| Physician Assistant, Surgical | 363AS0400X | — | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- New Jersey Brain and Spine PCMontvale, NJ · 41 clinicians
Hospital affiliations
- Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ
- Hackensack University Medical CenterHackensack, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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