Individual provider Active NPI

Sylvia H Chudy, M.D.

  • Family Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1124287982
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
258341 Issued in NY
Practice address
1 School St
Suite 203
Glen Cove, NY 11542-2545
Phone
(516) 671-9800
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 258341 NY Primary

Addresses

Primary practice location

1 School St
Suite 203
Glen Cove, NY 11542-2545

Mailing address

1 School St
Suite 203
Glen Cove, NY 11542-2545
Phone (516) 671-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2026 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258341NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue Medical Wellness PC Family Medicine PastSince Dec 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sylvia.chudy@692164750016516.direct.elationemr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1124287982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "address_2": "SUITE 203",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422545",
            "telephone_number": "516-671-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "address_2": "SUITE 203",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422545",
            "telephone_number": "516-671-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDY",
        "first_name": "SYLVIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "258341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.