Active NPI
Judy Ann Emanuele, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Riverhead, NY
National Provider Identifier
1457324568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 206403
- Practice address
- 1267 E Main St
Suite B
Riverhead, NY 11901-2673 - Phone
- (631) 369-0490
- Fax
- (631) 369-6421
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 206403 | NY | Primary |
Addresses
Primary practice location
1267 E Main St
Suite B
Riverhead, NY 11901-2673
Mailing address
1267 E Main St
Suite B
Riverhead, NY 11901-2673
Phone (631) 369-0490
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P831475 | Other | NY | OXFORD |
| AA72815 | Other | NY | MDNY |
| 2364740 | Other | NY | UNITED HEALTHCARE |
| 2127965 | Other | NY | VYTRA |
| 206403-8 | Other | NY | WORKER'S COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 18, 2016 through Nov 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457324568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 E MAIN ST",
"address_2": "SUITE B",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012673",
"telephone_number": "631-369-0490",
"fax_number": "631-369-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 E MAIN ST",
"address_2": "SUITE B",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012673",
"telephone_number": "631-369-0490",
"fax_number": "631-369-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUELE",
"first_name": "JUDY ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "NY",
"license": "206403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P831475",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA72815",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2364740",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "2127965",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "206403-8",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.