KELLY COPPOLA
NPI 1215747308
Registered Nurse - Addiction (Substance Use Disorder) in South Amboy, NJ

Active since January 10, 2025
540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879(732) 720-1000 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Coppola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY COPPOLA (NPI 1215747308) is an individual addiction (substance use disorder) provider in South Amboy, New Jersey, licensed in New Jersey (26NR13540100) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1215747308
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameKELLY COPPOLA
Location Address540 BORDENTOWN AVESouth Amboy, NJ 08879-1546
Mailing Address255 Clubhouse DrMiddletown, NJ 07748-1324
Sole ProprietorYes
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
NPI 1215747308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License Licensed in NJ · 26NR13540100
540 BORDENTOWN AVE, South Amboy, NJ 08879

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Sports Physician)
540 BORDENTOWN AVE, 4 FL, SUITE 4900
SOUTH AMBOY, NJ 08879
Dentist
540 BORDENTOWN AVE, SUITE 4820 MARZENZ B ZACHWIEJA DDS LLC
SOUTH AMBOY, NJ 08879
Internal Medicine
540 BORDENTOWN AVE, SUITE 2100
SOUTH AMBOY, NJ 08879
Orthotist
540 BORDENTOWN AVE
SOUTH AMBOY, NJ 08879
Clinic/Center (Adult Day Care)
540 BORDENTOWN AVE
SOUTH AMBOY, NJ 08879
Pain Medicine (Interventional Pain Medicine)
540 BORDENTOWN AVE
SOUTH AMBOY, NJ 08879
Physical Therapist
540 BORDENTOWN AVE
SOUTH AMBOY, NJ 08879
Community/Behavioral Health
540 BORDENTOWN AVE
SOUTH AMBOY, NJ 08879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Coppola's NPI number?

The NPI number for Kelly Coppola is 1215747308. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Kelly Coppola located?

Kelly Coppola practices at 540 Bordentown Ave, South Amboy, NJ 08879. The listed phone number is (732) 720-1000.

What is Kelly Coppola's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Coppola was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.