Tyreshia Hailstork, is a
Licensed Vocational Nurse based in Piscataway, New Jersey. Tyreshia Hailstork is licensed to practice in New Jersey (license number 26NP49599300) and her current practice location is
Po Box 8002, Piscataway, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 760-0474.
NPI number for Tyreshia Hailstork is 1013872167 and her current mailing address is 180 Talmadge Rd Unit 451, Edison, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013872167.
Provider's Profile
| Full Name | Tyreshia Hailstork |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | Po Box 8002, Piscataway, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013872167
- Provider Enumeration Date: 12/22/2025
- Last Update Date: 12/22/2025
Medical Identifiers
Medical identifiers for Tyreshia Hailstork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013872167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164X00000X | Licensed Vocational Nurse | 26NP49599300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyreshia Hailstork is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tyreshia Hailstork, 180 Talmadge Rd Unit 451, Edison, NJ 08817-2860 Ph: (732) 760-0474 | Tyreshia Hailstork, Po Box 8002, Piscataway, NJ 08855-8001 Ph: (732) 760-0474 |
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