Individual provider Active NPI

Julia Radulski, CCC-SLP

  • Speech-Language Pathologist
  • Newark, DE
National Provider Identifier
1770398133
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04-0010872 Issued in DE
Practice address
79 Omega Dr BLDG C2ND
Newark, DE 19713-2064
Phone
(302) 387-1407
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 04-0010872 DE Primary

Addresses

Primary practice location

79 Omega Dr BLDG C2ND
Newark, DE 19713-2064

Mailing address

79 Omega Dr
Newark, DE 19713-2056
Phone (302) 387-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707003797 DE Practitioner - Qualified Speech Language Pathologist 1759895386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware PhysiatryGroup PAC ID 0345644357, 13 clinicians

Practice addresses (Care Compare)

79 Omega Dr
BLDG C
Newark, DE 19713-2056
Phone (302) 359-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04-0010872DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Physiatry CurrentSince Jun 1, 2025 Accepting new patients

Locations

1221 College Park Dr
Ste 203
Dover, DE 19904
Phone (302) 387-1407

79 Omega Dr
#C
Newark, DE 19713
Phone (302) 387-1407

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD

Organizations & group practices 1

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1770398133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132056",
            "telephone_number": "302-387-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 OMEGA DR BLDG C2ND",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-387-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADULSKI",
        "first_name": "JULIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "04-0010872",
            "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 Jul 2, 2026; 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.