TYRONE BENTLEY MD
NPI 1255402178
Pediatrics - Developmental - Behavioral Pediatrics in Newark, NJ

NPI Status: Active since November 13, 2006

Contact Information

183 SOUTH ORANGE AVENUE
F-LEVEL
NEWARK, NJ
ZIP 07107
Phone: (973) 972-8930
Fax: (973) 972-0812

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  • Individual
  • Male
  • Pediatrics
  • Developmental - Behavioral Pediatrics
  • PECOS Enrolled

About TYRONE BENTLEY

This page provides the complete NPI Profile along with additional information for Tyrone Bentley, a pediatrician established in Newark, New Jersey with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1255402178 assigned on November 2006. The practitioner's primary taxonomy code is 2080P0006X with license number 25MA07944500 (NJ). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1255402178
Provider Name
TYRONE BENTLEY MD
Gender
Male
Entity Type
Individual
Location Address
183 SOUTH ORANGE AVENUE F-LEVEL NEWARK, NJ 07107
Location Phone
(973) 972-8930
Location Fax
(973) 972-0812
Mailing Address
30 BERGEN ST ADMC 12 1205 NEWARK, NJ 07107
Is Sole Proprietor?
No
Enumeration Date
11-13-2006
Last Update Date
08-20-2009
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A pediatrician like Tyrone Bentley is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
License No.
25MA07944500
License State
NJ
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0097446MEDICAID (05)NJ 
I47027MEDICARE UPIN (02) 
096676MEDICARE PIN (08)NJ 

Medicare Participation & PECOS Enrollment Status

Tyrone Bentley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255402178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105804114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 0 + 4 + 1 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1255402178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952468134 JACQUELINE A. BARTLETT M.D.
Individual
Psychiatry & Neurology (Psychiatry)183 SOUTH ORANGE AVENUE SUITE E1546
NEWARK, NJ 07107
(973) 972-2977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255402178, enumerated in the NPI registry as an "individual" on November 13, 2006

The provider is located at 183 South Orange Avenue F-level Newark, Nj 07107 and the phone number is (973) 972-8930

The provider's speciality is Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on November 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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