Susan M Pugliese, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G8-CH00004 Issued in DE

Practice address

910 S Chapel St
Newark, DE 19713-3467

Phone

(917) 754-4877

NPI assigned

Jun 2, 2006

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susan.pegliese.p1@direct.mfhcnj.nextgenshare.com

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1154368462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133467",
            "telephone_number": "917-754-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133467",
            "telephone_number": "917-754-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0456551",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G3-0000393",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G8-CH00004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychological Services P.a. (Newark Behavioral Health)
• Psychotherapeutic Meditation Center, LLC.
• Psychotherapeutic Services, Inc.
• James Luther Pugh Jr., CRNA
• Jennifer Ruth Pugh, NURSE PRACTITIONER
• Mara Puglisi, CHHC
• Anthony Punzo, CRNA
• Pure Insight Wellness LLC
• Pure Wellness, LLC
• Shruti Puri, MD

• General Practice Dentistry in Newark, DE
• Providers in Newark, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.