Tyrone Bentley in Newark - Developmental - Behavioral Pediatrics
Tyrone Bentley - NPI 1255402178
Tyrone Bentley is a Developmental - Behavioral Pediatrics in Newark, New Jersey. Tyrone Bentley practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Tyrone Bentley is 1255402178. The last update date is 2009-08-20.
Tyrone Bentley's current location address is 183 South Orange Avenue, Newark, New Jersey. You can contact this provider via phone number 9739728930 and fax number 9739720812. The mailing address for Tyrone Bentley is 183 South Orange Avenue, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyrone Bentley |
|---|---|
| Address | 183 South Orange Avenue, Newark, New Jersey |
| Phone Number | 9739728930 |
| Fax Number | 9739720812 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255402178 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2009-08-20 |
Provider Mailing Address Detail
| Address | 183 South Orange Avenue |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 7107 |
| Phone Number | 9739728930 |
| Fax Number | 9739720812 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 25MA07944500 |
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Definition: 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 effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97446 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tyrone Bentley by the Centers for Medicare & Medicaid Services?
The Tyrone Bentley has been assigned the NPI (National Provider Identifier) 1255402178 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tyrone Bentley?
The Tyrone Bentley is situated at 183 South Orange Avenue, in the city of Newark, state of NJ, with the zip code 7107.
What is the Tyrone Bentley's specialty and taxonomy code?
The Tyrone Bentley's specialty is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code is 2080P0006X.
On what date did Tyrone Bentley receive its 1255402178 assignment from the Centers for Medicare & Medicaid Services?
The Tyrone Bentley was assigned its 1255402178 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tyrone Bentley most recently updated or refreshed?
The details pertaining to the Tyrone Bentley, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-20.