Individual provider Active NPI

Alph Jo Emmanuel, M.D.

  • Surgery Physician
  • Fairfield, CT
National Provider Identifier
1134416860
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56655 Issued in CT
Practice address
140 Sherman St FL 2
Fairfield, CT 06824-5849
Phone
(860) 840-1819
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 313539 NY
Surgery Physician 208600000X 25MA10824500 NJ
Surgery Physician 208600000X 56655 CT Primary

Addresses

Primary practice location

140 Sherman St FL 2
Fairfield, CT 06824-5849

Mailing address

27 Brookside Ave
Livingston, NJ 07039-4006
Phone (860) 840-1819

Other practice location 1

345 Colt Hwy
Farmington, CT 06032-2567
Phone (516) 616-5500

Other practice location 2

2001 W Main St Ste 150
Stamford, CT 06902-4542
Phone (516) 616-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170907003312 CT Practitioner - General Surgery 4385949130 Reassigns benefits to 5 organizations
I20241210000561 NY Practitioner - General Surgery 4385949130 Reassigns benefits to 1 organization
I20250430003315 NJ Practitioner - General Surgery 4385949130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Minimally Invasive Surgery PCGroup PAC ID 1658541347, 2 clinicians
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

140 Sherman St
Fairfield, CT 06824-5849
Phone (516) 616-5500

3795 Crompond Rd
Cortlandt Manor, NY 10567-7214
Phone (516) 616-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince Aug 1, 2017 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Jan 11, 2021 Accepting new patients
Premier Bariatric New Jersey PC CurrentSince Feb 28, 2025 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Jan 15, 2022 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Sep 22, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 11, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations (25 of 34)

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

140 Sherman St
Fairfield, CT 06824
Phone (203) 256-1320

345 Colt Hwy
Ste C
Farmington, CT 06032

345 Colt Hwy
Farmington, CT 06032
Phone 5166165500 ext. 107

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

30 Buxton Farm Rd
Ste 210
Stamford, CT 06905
Phone (203) 322-7070

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

28 Gibson Blvd
Clark, NJ 07066

98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888

98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800

83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700

230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000

6 Club House Dr
Ste 204
Washington, NJ 07882
Phone (908) 237-4106

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

1680 Route 23
Wayne, NJ 07470
Phone (973) 305-1400

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

Interoperability endpoints

  • Direct secure messaging: nybg.alphemmanuel@136202.advancedmd-direct.com
  • Direct secure messaging: aemmanuel2389136@direct.trinity-health.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1134416860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BROOKSIDE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394006",
            "telephone_number": "860-840-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "860-840-1819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Colt Hwy",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322567",
            "country_code": "US",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W Main St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069024542",
            "country_code": "US",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "ALPH",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "313539",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10824500",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "56655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.