Montville Medical, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MONTVILLE MEDICAL, LLC

Practice address

115 Horseneck Rd
Suite 4
Montville, NJ 07045-9365

Phone

(732) 709-3658

Fax

(732) 709-3659

NPI assigned

Apr 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Giselda D'Alessio, MDNPI 1760707392

Title

Ceo

Phone

(973) 818-7980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Giselda D'Alessio, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Millburn, NJ
  • NPI 1760707392
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1023543972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HORSENECK RD",
            "address_2": "SUITE 4",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HORSENECK RD",
            "address_2": "SUITE 4",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459365",
            "telephone_number": "732-709-3658",
            "fax_number": "732-709-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "D'ALESSIO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "GISELDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-818-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montville Chiropractic
• Montville Dental Studio LLC
• Montville Dermatology and Laser Center
• Montville Endodontics, LLC
• Montville Family Practice Associates, PA
• Montville Oral Surgery Associates, L.L.C.
• Montville Orthodontic Associates
• Montville Park Physician Associates
• Montville Pharmacy NJ Corp
• Montville Physical Therapy, PC

• Physical Medicine & Rehabilitation Physician in Montville, NJ
• Providers in Montville, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.