Individual provider Active NPI

Susan L Chudzik, CRNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1063415651
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0000243 Issued in DE
Practice address
4735 Ogletown Stanton Rd
Mapii Suite 2123
Newark, DE 19713-2072
Phone
(302) 225-3888
Fax
(302) 731-7831
NPI assigned
May 27, 2005
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG0000243 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Mapii Suite 2123
Newark, DE 19713-2072

Mailing address

4735 Ogletown Stanton Rd
Mapii Suite 2123
Newark, DE 19713-2072
Phone (302) 623-2451

Other identifiers 1

IdentifierTypeStateIssuer
0001089742MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110128000640 DE Practitioner - Nurse Practitioner 9638358146 Reassigns benefits to 2 organizations
I20170925000064 MD Practitioner - Nurse Practitioner 9638358146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Regional Medical Group LLCGroup PAC ID 6800041237, 4 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

123 Singerly Ave
Elkton, MD 21921-5523
Phone (410) 398-2436

4512 Kirkwood Hwy
Suite 202
Wilmington, DE 19808-5122
Phone (302) 993-7890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Aug 1, 2013 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 11, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 11, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2013 Accepting new patients
Regional Medical Group LLC CurrentSince Sep 1, 2025 Accepting new patients
Union Hospital of Cecil County Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 2123
Newark, DE 19713
Phone (302) 225-3888

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 477-6510

4512 Kirkwood Hwy
Ste 202
Wilmington, DE 19808
Phone (302) 892-6200

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

210 Chesapeake Blvd
Elkton, MD 21921

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1063415651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MAPII SUITE 2123",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-623-2451",
            "fax_number": "302-623-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MAPII SUITE 2123",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-225-3888",
            "fax_number": "302-731-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDZIK",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001089742",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.