Emanuel Corbo, MD
Individual provider Active NPI Pediatrics Physician · Leonia, NJ
NPI 1013000413 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1013000413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA05499700 (NJ)
- Practice address
- 509 Pine Hill Rd
Leonia, NJ 07605-1421 - Phone
- (201) 803-3377
- Fax
- (517) 252-9295
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05499700 | NJ | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05499700 | NJ | Yes |
Addresses
Primary practice location
509 Pine Hill Rd
Leonia, NJ 07605-1421
Mailing address
509 Pine Hill Rd
Leonia, NJ 07605-1421
Phone (201) 803-3377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4526007 | Medicaid | NJ |
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- Sandra Collado
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- Lillian E Corcoran
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All providers in Leonia, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.