BREYNN ENTWISTLE PA-C
NPI 1003302183
Psychiatry & Neurology - Epilepsy
in Marlboro, NJ
NPI Status: Active since July 02, 2018
Contact Information
479 COUNTY ROAD 520 STE B101
MARLBORO, NJ
ZIP 07746
Phone: (732) 856-5999
- Individual
- Female
- Psychiatry & Neurology
- Epilepsy
- Accepts Insurance
- PECOS Enrolled
About BREYNN ENTWISTLE
This page provides the complete NPI Profile along with additional information for Breynn Entwistle, a provider established in Marlboro, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in epilepsy . The healthcare provider is registered in the NPI registry with number 1003302183 assigned on July 2018. The practitioner's primary taxonomy code is 2084E0001X with license number 25MP00483700 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1003302183
- Provider Name
- BREYNN ENTWISTLE PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 479 COUNTY ROAD 520 STE B101 MARLBORO, NJ 07746
- Location Phone
- (732) 856-5999
- Mailing Address
- 1000 14TH AVE BELMAR, NJ 07719
- Mailing Phone
- (732) 615-8951
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-02-2018
- Last Update Date
- 10-21-2024
- Code Navigator
Location Map
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
Psychiatry & Neurology Epilepsy
- Taxonomy Code
- 2084E0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MP00483700
- License State
- NJ
- Taxonomy Description
- Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 10858311-1206 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Breynn Entwistle 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003302183, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MARLBORO, NJ 07746
MARLBORO, NJ 07746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003302183, enumerated as an "individual" on July 02, 2018.
The provider is located at 479 COUNTY ROAD 520 STE B101 MARLBORO, NJ 07746 and the phone number is (732) 856-5999.
Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
