Individual provider Active NPI

Judy Ann Emanuele, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Riverhead, NY
National Provider Identifier
1457324568
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
206403 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P831475OtherNYOXFORD
AA72815OtherNYMDNY
2364740OtherNYUNITED HEALTHCARE
2127965OtherNYVYTRA
206403-8OtherNYWORKER'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
Green means eligible to order or refer.
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

Verify at the official NPI Registry.