Kelly Coppola
Registered Nurse, Addiction (Substance Use Disorder) in South Amboy, New Jersey
1215747308- Practice location
- 540 Bordentown Ave, South Amboy, NJ 08879-1546
- Phone
- 732-720-1000
- Fax
- —
- Last updated
- January 10, 2025
Kelly Coppola is a Registered Nurse, Addiction (Substance Use Disorder) based in South Amboy, NJ. Kelly Coppola practices in South Amboy, NJ. The NPI Number for Kelly Coppola is 1215747308 and holds a License No. 26NR13540100 (NJ). The current practice location address for Kelly Coppola is 540 Bordentown Ave, South Amboy, NJ 08879-1546 and can be reached out via phone at 732-720-1000.
Provider Profile Details
- NPI Number
- 1215747308
- Provider Name
- Kelly Coppola
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 540 Bordentown Ave, South Amboy, NJ 08879-1546
- Phone Number
- 732-720-1000
- Primary Taxonomy
- Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 10, 2025
- Last Update Date
- January 10, 2025
- Certification Date
- January 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Bordentown Ave
South Amboy, NJ 08879-1546 - City
- South Amboy
- State
- New Jersey
- Zip
- 08879-1546
- Phone Number
- 732-720-1000
Provider Business Mailing Address Details
- Address
- 255 Clubhouse Dr
Middletown, NJ 07748-1324 - City
- Middletown
- State
- NJ
- Zip
- 07748-1324
License Information
- License Number
- 26NR13540100
- License State
- NJ
- Taxonomy
- Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly Coppola?
The NPI number of Kelly Coppola is 1215747308. It was assigned on January 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Kelly Coppola?
Kelly Coppola is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in NJ under license number 26NR13540100.
Where does Kelly Coppola practice?
The practice location is 540 Bordentown Ave, South Amboy, NJ 08879-1546. The office can be reached at 732-720-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215747308 directly on the NPPES registry website.