Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMA M CONNELLY MD
NPI 1255071585
Student in an Organized Health Care Education/Training Program in Elmira, NY

Active since April 01, 2022PECOS Enrolled

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Jun 22, 2024, Aug 16, 2022 (3 updates tracked since 2022).

About Emma M Connelly Md NPPES

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

EMMA M CONNELLY MD (NPI 1255071585) is an individual student in an organized health care education/training program in Elmira, New York, licensed in New York (1255071585) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255071585
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMMA M CONNELLYCredential: MD
Location Address600 ROE AVEElmira, NY 14905-1629
Mailing Address600 Roe AveElmira, NY 14905-1629 · (607) 737-4100
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1255071585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Licenses✔ Licensed in NY · 1255071585✔ Licensed in ME · 1255071585
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 ROE AVE, Elmira, NY 14905

Secondary Practice Locations 2

Location 1895 Union St Ste 12Bangor, ME 04401-3054 · Phone (207) 973-7979
Location 2Msc09 5040 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-8291 · Fax (505) 272-1348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma M Connelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Radiology (Diagnostic Radiology)
600 ROE AVE
ELMIRA, NY 14905
General Practice
600 ROE AVE
ELMIRA, NY 14905
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Emergency Medicine
600 ROE AVE
ELMIRA, NY 14905
Nurse Practitioner (Adult Health)
600 ROE AVE
ELMIRA, NY 14905

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 Emma Connelly's NPI number?

The NPI number for Emma Connelly is 1255071585. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Emma Connelly located?

Emma Connelly practices at 600 Roe Ave, Elmira, NY 14905. The listed phone number is (607) 737-4100.

What is Emma Connelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emma Connelly enrolled in Medicare?

Yes. Emma Connelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Connelly was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.