Individual provider Active NPI

Emily Coyle, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgewood, NJ
National Provider Identifier
1174158299
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01026600 Issued in NJ
Practice address
216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849
Phone
(551) 288-6543
Fax
(551) 212-3041
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01026600 NJ Primary

Addresses

Primary practice location

216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849

Mailing address

216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849
Phone (551) 288-6543

Other names 1

  • Emily Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200420001911 NJ Practitioner - Nurse Practitioner 9739519588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Integrative WellnessGroup PAC ID 0042710279, 2 clinicians

Practice addresses (Care Compare)

216 E Ridgewood Ave
Suite 3B
Ridgewood, NJ 07450-3849
Phone (551) 288-6543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Integrative Wellness CurrentSince Jul 1, 2025 Accepting new patients
Wayne Behavioral Service, LLC CurrentSince Apr 6, 2020 Accepting new patients

Locations

216 E Ridgewood Ave
Ste 3B
Ridgewood, NJ 07450
Phone (551) 288-6543

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

Organizations & group practices 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1174158299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E RIDGEWOOD AVE STE 3B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503849",
            "telephone_number": "551-288-6543",
            "fax_number": "551-212-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E RIDGEWOOD AVE STE 3B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503849",
            "telephone_number": "551-288-6543",
            "fax_number": "551-212-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "EMILY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01026600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "EDWARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.