Active NPI
Susan Dlugosz, CRNP
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1366879124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN574443
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4238 - Phone
- (215) 662-3487
- Fax
- (215) 349-5534
- NPI assigned
- Oct 10, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP012135 | PA | |
| Nurse Practitioner | 363L00000X | RN574443 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3487
Other practice location 1
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN574443 | PA | MD | Nurse Practitioner |
| SP012135 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group Inc | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
3400 Spruce St
Fl 3
Philadelphia, PA 19104
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.
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Pediatric Surgery Physician
- Bethlehem, PA
- NPI 1164563029
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Surgery Physician
- Philadelphia, PA
- NPI 1275921298
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1366879124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-3487",
"fax_number": "215-349-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-3487",
"fax_number": "215-349-5534"
}
],
"practiceLocations": [
{
"address_1": "801 OSTRUM ST",
"address_purpose": "LOCATION",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "484-526-6643",
"fax_number": "484-526-4658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DLUGOSZ",
"first_name": "SUSAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012135",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "RN574443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.