Emmanuel Emelle, MD. PC.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA05990500 Issued in NJ

Legal business name

EMMANUEL EMELLE, MD. PC.

Practice address

40 Union Ave Ste 306
Irvington, NJ 07111-3290

Phone

(973) 374-3544

Fax

(973) 374-3554

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel M Emelle, M.DNPI 1558343756

Title

President

Phone

(973) 374-3544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/otCmFR9xLPoc2YGLoEEuj1ulH3uzON_F/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Maduabuchi Emelle, MD

  • Pediatrics Physician
  • Irvington, NJ
  • NPI 1558343756
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952527723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE STE 306",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113290",
            "telephone_number": "973-374-3544",
            "fax_number": "973-374-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE STE 306",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113290",
            "telephone_number": "973-374-3544",
            "fax_number": "973-374-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL EMELLE, MD. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMELLE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-374-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA05990500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6311601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuella Uju Egeonu
• Oluchi Ekechukwu
• El-Zoenik Supportive Services
• Julie M Elessawi, D.D.S.
• Emmanuel Maduabuchi Emelle, MD
• Empire Ventures
• Empower Care Group Home LLC
• Empower Care LLC
• Empower CBT Counseling LLC
• Franklin Enwere, BCBA

• Pediatric Adolescent Medicine Physician in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.