Emanuel'S Place

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

EMANUEL'S PLACE

Practice address

462 Squankum Yellowbrook Rd
Farmingdale, NJ 07727-3775

Phone

(215) 740-3079

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Scott John Coppola

Title

Director

Phone

(215) 740-3079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1124847801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KATIE CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288491",
            "telephone_number": "215-740-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 SQUANKUM YELLOWBROOK RD",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273775",
            "telephone_number": "215-740-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-740-3079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Distefano, DMD
• Don Steinfeld DPM PC
• Lawrence Richard Dugo
• Constance A Egert, MA, CCC-SLP
• Ahmed Eldessouki, PHARMACIST
• Farmingdale Drugs Inc
• Farmingdale Family Practice Associates LLC
• Farmingdale Medical Associates LLC
• Brennan Hanley Feldman, DDS
• Mary Gallagher, LPC, RD

• All providers in Farmingdale, NJ
• Voluntary or Charitable Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.