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

Active since November 13, 2006PECOS Enrolled
183 SOUTH ORANGE AVENUE, F-LEVEL, NEWARK, NJ 07107(973) 972-8930(973) 972-0812 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tyrone Bentley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRONE BENTLEY MD (NPI 1255402178) is an individual developmental - behavioral pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MA07944500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255402178
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameTYRONE BENTLEYCredential: MD
Location Address183 SOUTH ORANGE AVENUE, F-LEVELNewark, NJ 07107
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-8930
Fax(973) 972-0812
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 20, 2009
✔ NPI 1255402178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NJ · 25MA07944500
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 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.
183 SOUTH ORANGE AVENUE, Newark, NJ 07107
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Other Identifiers 3

Medicaid0097446NJ
Medicare UPINI47027
Medicare PIN096676NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyrone Bentley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyrone Bentley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
11 mi
Skilled Nursing Facility
460 BRIELLE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1285642512 (718) 317-3261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE A. BARTLETT M.D.
Psychiatry & Neurology (Psychiatry)
183 SOUTH ORANGE AVENUE, SUITE E1546
NEWARK, NJ 07107
Essex County (973) 972-2977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyrone Bentley's NPI number?

The NPI number for Tyrone Bentley is 1255402178. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Tyrone Bentley located?

Tyrone Bentley practices at 183 South Orange Avenue F-Level, Newark, NJ 07107. The listed phone number is (973) 972-8930.

What is Tyrone Bentley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Tyrone Bentley enrolled in Medicare?

Yes. Tyrone Bentley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyrone Bentley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Bentley reassigns Medicare benefits to New York City Health And Hospitals Corporation (Staten Island, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyrone Bentley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyrone Bentley was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.