Active NPI
Julie T Poludniak, MD
- Family Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D55315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005439 | DE | MD | Family Medicine Physician |
| D55315 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Emergency Medical Providers LLC | Current | Accepting new patients | |
| Urgent Care Plus, LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Current | Accepting new patients | |
| Christiana Care Quality Partners | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1356110134
-
- Internal Medicine Physician
- Newark, DE
- NPI 1144940479
-
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1619640166
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1720203821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.