Ud Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

UD HEALTH LLC

Practice address

540 S College Ave Ste 130
Newark, DE 19713-1302

Phone

(302) 831-3195

Fax

(302) 831-3193

NPI assigned

Aug 30, 2022

Last updated

Feb 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed Castellucci

Title

Chief Clinical Operating Officer

Phone

(302) 831-2705

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ud Health LLC

  • Health Educator
  • Newark, DE
  • NPI 1588382535

  6204209034

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ud Health LLC

  • Health Educator
  • Newark, DE
  • NPI 1588382535

  O20230227001146

  Same enrollment
• Ud Health LLC

  • Clinical Psychologist
  • Newark, DE
  • NPI 1821989856

  O20230227001146

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Institute for Community Mental Health-Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ud Health LLC

  • Health Educator
  • Newark, DE
  • NPI 1588382535
  NPD tax ID
• Ud Health LLC

  • Clinical Psychologist
  • Newark, DE
  • NPI 1821989856
  NPD tax ID

Locations

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace K. Ademski

  • Physical Therapist
  • Newark, DE
  • NPI 1912025495
  Medicare reassignment Care Compare group NPD
• Jessica Bahls, M.S.

  • Speech-Language Pathologist
  • Newark, DE
  • NPI 1326476508
  Medicare reassignment Care Compare group NPD
• Lucas Brady, PT

  • Physical Therapist
  • Newark, DE
  • NPI 1255010047
  Medicare reassignment Care Compare group NPD
• Keith Eric Bredemeier, PH.D.

  • Clinical Psychologist
  • Newark, DE
  • NPI 1538573936
  Medicare reassignment Care Compare group NPD
• Michael Cameron Buckmire, PT, DPT

  • Physical Therapist
  • Newark, DE
  • NPI 1730061284
  Medicare reassignment Care Compare group NPD
• Kelsie Collins, PT, DPT

  • Physical Therapist
  • Newark, DE
  • NPI 1912769498
  Medicare reassignment Care Compare group NPD
• Sharon B Collison, M.S., R.D., CDN

  • Registered Dietitian
  • Newark, DE
  • NPI 1548382013

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Christopher Michael Cutsail

  • Physical Therapist
  • Middletown, DE
  • NPI 1447799283
  Medicare reassignment Care Compare group NPD
• Paul Michael Eckrich, PT, DPT

  • Physical Therapist
  • Newark, DE
  • NPI 1871001743
  Medicare reassignment Care Compare group NPD
• Donald Christopher Ford, DPT

  • Physical Therapist
  • Newark, DE
  • NPI 1386152023
  Medicare reassignment Care Compare group NPD
• Carolyn G Haines, FNP

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1326277823
  Medicare reassignment Care Compare group NPD
• Jenny Hughes, N.P.

  • Family Nurse Practitioner
  • Newark, DE
  • NPI 1942271705
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1750001855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DISCOVERY BLVD STE 721",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131325",
            "telephone_number": "302-831-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 130",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-3195",
            "fax_number": "302-831-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 S College Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197131302",
            "country_code": "US",
            "telephone_number": "302-831-7100",
            "fax_number": "302-831-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 S College Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197131302",
            "country_code": "US",
            "telephone_number": "302-831-8893",
            "fax_number": "302-831-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Discovery Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197131325",
            "country_code": "US",
            "telephone_number": "302-831-1165",
            "fax_number": "302-309-9163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Discovery Blvd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197131325",
            "country_code": "US",
            "telephone_number": "302-831-1165",
            "fax_number": "302-309-9163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S College Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197162000",
            "country_code": "US",
            "telephone_number": "302-831-8893",
            "fax_number": "302-831-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "CASTELLUCCI",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPERATING OFFICER",
        "authorized_official_telephone_number": "302-831-2705"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Marie Tyler, PA-C
• Callie Tyner, PHD
• Paulette Tyrrell, RN
• Ka-Khy Tze, M.D.
• Ud Health LLC
• Ud Health LLC
• Victoria Udealer, FNP-C
• Uhs of Rockford LLC (Rockford Center)
• Uhs of Rockford LLC
• Kanta Ukrani, MD

• Family Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.