Individual provider Active NPI

Julie T Poludniak, MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1245258516
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D55315 Issued in MD
Practice address
2600 Glasgow Ave Ste 100
Newark, DE 19702-5703
Phone
(302) 273-1317
Fax
(302) 273-1581
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0005439 DE
Family Medicine Physician 207Q00000X D55315 MD Primary

Addresses

Primary practice location

2600 Glasgow Ave Ste 100
Newark, DE 19702-5703

Mailing address

2600 Glasgow Ave Ste 100
Newark, DE 19702-5703
Phone (302) 273-1317

Other practice location 1

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080215000506 DE Practitioner - Family Practice 5799868501 Reassigns benefits to 3 organizations
I20130213000039 MD Practitioner - Family Practice 5799868501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Plus, LLCGroup PAC ID 3173069093, 3 clinicians

Practice addresses (Care Compare)

3234 Kirkwood Hwy
Wilmington, DE 19808-6166
Phone (302) 547-4742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0005439DEMDFamily Medicine Physician
D55315MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Emergency Medical Providers LLC CurrentSince Dec 1, 2023 Accepting new patients
Urgent Care Plus, LLC CurrentSince Aug 18, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Jan 11, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Jan 11, 2024 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Limestone Medical Aid Unit, LLC Past Accepting new patients

Locations

2600 Glasgow Ave
Ste 100
Newark, DE 19702
Phone (302) 273-1317

2645 Pulaski Hwy
Spc A
Newark, DE 19702
Phone (302) 273-1317

324 E Main St
Newark, DE 19711
Phone (302) 633-2345

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

3234 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 547-4742

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

Interoperability endpoints

  • Direct secure messaging: julie.poludniak.1@30692.direct.athenahealth.com

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1245258516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-273-1317",
            "fax_number": "302-273-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025703",
            "telephone_number": "302-273-1317",
            "fax_number": "302-273-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLUDNIAK",
        "first_name": "JULIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0005439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D55315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.