Provider Demographics
NPI:1497701981
Name:STOPPIELLO-CZUPAK, EMILY ANNA (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANNA
Last Name:STOPPIELLO-CZUPAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ANNA
Other - Last Name:STOPPIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1037 ROUTE 46 STE 203
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2459
Mailing Address - Country:US
Mailing Address - Phone:973-812-0202
Mailing Address - Fax:973-812-0505
Practice Address - Street 1:1037 ROUTE 46 STE 203
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2459
Practice Address - Country:US
Practice Address - Phone:973-812-0202
Practice Address - Fax:973-812-0505
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00630500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV11283Medicare UPIN
NJ107141V3EMedicare PIN