Individual provider Active NPI

Vanessa Coppola

  • Audiologist
  • Staten Island, NY
National Provider Identifier
1962399154
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00136400 Issued in NJ
Practice address
1 Teleport Dr Ste 200
Staten Island, NY 10311-1000
Phone
(914) 333-5801
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00136400 NJ Primary

Addresses

Primary practice location

1 Teleport Dr Ste 200
Staten Island, NY 10311-1000

Mailing address

660 White Plains Rd FL Enta4
Tarrytown, NY 10591-5139
Phone (914) 333-5801

Other practice location 1

741 Northfield Ave
West Orange, NJ 07052-1174
Phone (973) 731-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250912004091 NJ Practitioner - Qualified Audiologist 8123521283 Reassigns benefits to 2 organizations
I20251010002989 NY Practitioner - Qualified Audiologist 8123521283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1 Teleport Dr
Suite 200
Staten Island, NY 10311-1000
Phone (718) 370-0072

3663 Route 9 N
Suite 102
Old Bridge, NJ 08857-3518
Phone (732) 679-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00136400NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Sep 15, 2025 Accepting new patients
Associates in Otolaryngology of NJ, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

3663 Route 9 N
Ste 102
Old Bridge, NJ 08857
Phone (732) 679-7575

1131 Broad St
Ste 103
Shrewsbury, NJ 07702
Phone (732) 389-2438

1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808

741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729

741 Northfield Ave
Ste 104
West Orange, NJ 07052
Phone (201) 243-0600

1 Teleport Dr
Ste 200
Staten Island, NY 10311
Phone (718) 370-0072

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1962399154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL ENTA4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-333-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TELEPORT DR STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103111000",
            "telephone_number": "914-333-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Northfield Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521174",
            "country_code": "US",
            "telephone_number": "973-731-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00136400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.