Active NPI
Sylvia H Chudy, M.D.
- Family Medicine Physician
- Glen Cove, NY
National Provider Identifier
1124287982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 258341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 258341 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenue Medical Wellness PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- New York, NY
- NPI 1871252890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.