Active NPI
Monette M. Tresvalles, MD, LLC
- Clinic/Center
- Whiting, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MA66534
- Legal business name
- MONETTE M. TRESVALLES, MD, LLC
- Practice address
- 65 Lacey Rd Ste D
Whiting, NJ 08759-2985 - Phone
- (732) 716-1000
- Fax
- (732) 716-1900
- NPI assigned
- Aug 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monette M. Tresvalles, MD
- Title
- Owner
- Phone
- (732) 716-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MA66534 | NJ | Primary |
Addresses
Primary practice location
65 Lacey Rd Ste D
Whiting, NJ 08759-2985
Mailing address
1749 Rolling Ridge LN
Toms River, NJ 08755-1005
Phone (732) 716-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7673400 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Monette M Tresvalles MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Whiting, NJ
- NPI 1205214277
Locations
65 Lacey Rd
Ste D
Whiting, NJ 08759
Phone (732) 716-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Whiting, NJ
- NPI 1962586396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1962635532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 ROLLING RIDGE LN",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551005",
"telephone_number": "732-716-1000",
"fax_number": "732-716-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 LACEY RD STE D",
"city": "WHITING",
"state": "NJ",
"postal_code": "087592985",
"telephone_number": "732-716-1000",
"fax_number": "732-716-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONETTE M. TRESVALLES, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "TRESVALLES",
"authorized_official_first_name": "MONETTE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-716-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "MA66534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7673400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiting, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.