Salvatore Tresca Jr., C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

001724 Issued in CT

Practice address

112 Mansfield Ave
Willimantic, CT 06226-2041

Phone

(860) 456-9116

Fax

(860) 456-6748

NPI assigned

Dec 12, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053782466
  Medicare reassignment

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1275694564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MATHEW DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029191646",
            "telephone_number": "401-349-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262041",
            "telephone_number": "860-456-9116",
            "fax_number": "860-456-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESCA",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "001724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor Enrique Torres, MD
• Town of Windham
• Town of Windham Board of Education
• Adam S Traxler
• Amos Traystman, M.S.
• Tricounty Vision Associates, L.L.C.
• Andrew An Trinh, MD
• Dawn Truong
• John Tutu
• Emily C Tyson

• Certified Registered Nurse Anesthetist in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.