Breynn Entwistle, PA-C
Psychiatry & Neurology, Epilepsy in Marlboro, New Jersey
1003302183- Practice location
- 479 County Road 520 Ste B101, Marlboro, NJ 07746-1089
- Phone
- 732-856-5999
- Fax
- —
- Last updated
- October 21, 2024
Breynn Entwistle is a Psychiatry & Neurology, Epilepsy based in Marlboro, NJ. Breynn Entwistle practices in Marlboro, NJ and has the professional credentials of PA-C. The NPI Number for Breynn Entwistle is 1003302183 and holds a License No. 10858311-1206 (UT). The current practice location address for Breynn Entwistle is 479 County Road 520 Ste B101, Marlboro, NJ 07746-1089 and can be reached out via phone at 732-856-5999.
Provider Profile Details
- NPI Number
- 1003302183
- Provider Name
- Breynn Entwistle
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 479 County Road 520 Ste B101, Marlboro, NJ 07746-1089
- Phone Number
- 732-856-5999
- Primary Taxonomy
- Psychiatry & Neurology, Epilepsy · 2084E0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 2, 2018
- Last Update Date
- October 21, 2024
- Certification Date
- October 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 479 County Road 520 Ste B101
Marlboro, NJ 07746-1089 - City
- Marlboro
- State
- New Jersey
- Zip
- 07746-1089
- Phone Number
- 732-856-5999
Provider Business Mailing Address Details
- Address
- 1000 14TH Ave
Belmar, NJ 07719-2809 - City
- Belmar
- State
- NJ
- Zip
- 07719-2809
- Phone Number
- 732-615-8951
License Information
- License Number (1)
- 10858311-1206
- License State (1)
- UT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00483700
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Epilepsy · 2084E0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Breynn Entwistle, PA-C?
The NPI number of Breynn Entwistle, PA-C is 1003302183. It was assigned on July 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Breynn Entwistle, PA-C?
Breynn Entwistle, PA-C is registered under the primary taxonomy Psychiatry & Neurology, Epilepsy (code 2084E0001X), licensed in UT under license number 10858311-1206.
Where does Breynn Entwistle, PA-C practice?
The practice location is 479 County Road 520 Ste B101, Marlboro, NJ 07746-1089. The office can be reached at 732-856-5999 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003302183 directly on the NPPES registry website.