TYRONE BENTLEY (NPI# 1255402178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255402178 |
| Entity Type | Individual |
| Full Name | TYRONE BENTLEY |
| Credential | MD |
| Practice Address |
183 South Orange Avenue F-level Newark NJ 07107 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739728930 |
| Practice Fax Number | 9739720812 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
25MA07944500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0097446 | 05 |
| Street Address |
183 SOUTH ORANGE AVENUE F-LEVEL |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588746507 | Margaret Kelly | Social Worker | 183 South Orange Avenue, Newark, NJ 07103 | 2006-10-19 |
| 1386130995 | Faisal Kagadkar | Student in an Organized Health Care Education/Training Program | 183 South Orange Avenue, Behavioral Health Science Building, Newark, NJ 07101 | 2018-07-06 |
| 1144736141 | Lara M Aunio | Counselor | 183 South Orange Avenue, Newark, NJ 07103 | 2017-12-28 |
| 1053826560 | Andrew Gustavson | Case Manager/Care Coordinator | 183 South Orange Avenue, Floor D, Newark, NJ 07103 | 2017-12-06 |
| 1508265620 | Saba Afzal | Psychiatry & Neurology | 183 South Orange Avenue, Rutgers Bhsb, Newark, NJ 07101 | 2014-08-14 |
| 1023251964 | Rosanna Dejesus | Counselor | 183 South Orange Avenue, Newark, NJ 07103 | 2009-04-08 |
| 1851536288 | Robin Duckett | Counselor | 183 South Orange Avenue, Newark, NJ 07103 | 2008-12-15 |
| 1043475742 | Carmen T Colon | Counselor | 183 South Orange Avenue, Newark, NJ 08854 | 2008-07-22 |
| 1760646988 | Muhammad Abbass | Psychologist | 183 South Orange Avenue, Newark, NJ 07103 | 2008-07-16 |
| 1801057039 | William Tate | Counselor | 183 South Orange Avenue, Newark, NJ 07103 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427367440 | Maureen Hoey | Pediatrics | 104 Cranford Ave, Cranford, NJ 07016-2408 | 2010-09-27 |
| 1548427420 | Manuel Jimenez | Pediatrics | 89 French St Rm 1349, New Brunswick, NJ 08901-1935 | 2008-05-19 |
| 1265589600 | Margaret Kelly Downey | Pediatrics | 110 Hazel Ct, Norwood, NJ 07648-1817 | 2007-01-05 |
| 1982798237 | Dorothy W. Bryan | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-10-03 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| 1235233248 | Ffrancine M Siegel-stein | Pediatrics | 263 Arch Rd, Englewood, NJ 07631-4402 | 2006-09-11 |
| 1801847462 | Marivic Santiago | Pediatrics | 140 E Ridgewood Avenue, Suite 480n, Paramus, NJ 07652 | 2006-05-16 |
| 1871561266 | Kathleen Selvaggi-fadden | Pediatrics | 435 South St Ste 250, Morristown, NJ 07960-6477 | 2006-03-10 |
| 1295371441 | Hunterdon Medical Center | Pediatrics | 190 Route 31, Flemington, NJ 08822-5773 | 2019-11-22 |
| 1932762002 | Clarity Psychiatric Care | Pediatrics | 31 Kings Hwy E, Haddonfield, NJ 08033-2001 | 2019-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.