Active NPI
Susan Livesay, MD
- Family Medicine Physician
- Newark, DE
National Provider Identifier
1477531390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C10003801
- Practice address
- 200 Hygeia Drive
Newark, DE 19713-2084 - Phone
- (302) 623-0100
- Fax
- (302) 623-0147
- NPI assigned
- Jan 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C10003801 | DE | Primary |
Addresses
Primary practice location
200 Hygeia Drive
Newark, DE 19713-2084
Mailing address
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10003801 | DE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1477531390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "302-623-0240",
"fax_number": "302-623-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HYGEIA DRIVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132084",
"telephone_number": "302-623-0100",
"fax_number": "302-623-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVESAY",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C10003801",
"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 Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.