Individual provider Active NPI

Monique Davall

  • Prosthetics Case Management
  • Edison, NJ
National Provider Identifier
1205564515
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
194 Lafayette Ave
Edison, NJ 08837-2407
Phone
(732) 515-9600
Fax
(877) 730-0413
NPI assigned
Aug 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

194 Lafayette Ave
Edison, NJ 08837-2407

Mailing address

194 Lafayette Ave
Edison, NJ 08837-2407
Phone (732) 515-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address www.growmyhair@glorioushairrs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1205564515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 LAFAYETTE AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372407",
            "telephone_number": "732-515-9600",
            "fax_number": "877-730-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 LAFAYETTE AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372407",
            "telephone_number": "732-515-9600",
            "fax_number": "877-730-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALL",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.growmyhair@glorioushairrs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "194 Lafayette Ave",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088372407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.