MR. JOHN D CHUKWUDIFU JR. (NPI# 1033628235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033628235 |
| Entity Type | Individual |
| Full Name | MR. JOHN D CHUKWUDIFU JR. |
| Credential | PA-C |
| Practice Address |
640 S State St Dover DE 19901-3530 |
| Mailing Address |
54 Sullivan Way East Brunswick NJ 08816-1430 |
| Practice Telephone | 7325864101 |
| Mailing Telephone | 7325864101 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
640 S STATE ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295136 | William A. Rosenfeld | Emergency Medicine | 640 S State St, Dover, DE 19901-3530 | 2005-06-15 |
| 1942815568 | Blake Katharine Griffitts | Physician Assistant | 640 S State St, Dover, DE 19901-3530 | 2020-09-10 |
| 1679187181 | Sheila Lee Dirocco | Clinical Nurse Specialist | 640 S State St, Dover, DE 19901-3530 | 2020-09-02 |
| 1578177259 | Leesa Mcilwain | Pharmacist | 640 S State St, Dover, DE 19901-3530 | 2020-09-01 |
| 1427687664 | Regina Santangelo | Dietitian, Registered | 640 S State St, Dover, DE 19901-3530 | 2020-04-08 |
| 1497387484 | Meghan Holland | Nurse Practitioner | 640 S State St, Dover, DE 19901-3530 | 2020-02-07 |
| 1992351662 | Kenneth A Anderson Jr. | Physician Assistant | 640 S State St, Dover, DE 19901-3530 | 2019-08-17 |
| 1427604412 | Alice Nicole Miller | Dietitian, Registered | 640 S State St, Dover, DE 19901-3530 | 2019-08-15 |
| 1952953911 | Genna Marie Helfrich | Clinical Nurse Specialist | 640 S State St, Dover, DE 19901-3530 | 2019-07-10 |
| 1073175766 | Rebecca Ann Waibel | Dietitian, Registered | 640 S State St, Dover, DE 19901-3530 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434760 | Justine M Kline | Physician Assistant | 103 Wolf Creek Blvd Ste 1, Dover, DE 19901-4967 | 2013-09-25 |
| 1073008736 | Rachel L Velardi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-06-26 |
| 1235652827 | Thomas S Helms | Physician Assistant | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2017-07-25 |
| 1861931446 | Caroline Elizabeth King | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2017-02-16 |
| 1518360262 | Evan James Hutton | Physician Assistant | 640 S State St, Dover, DE 19901-3530 | 2014-10-08 |
| 1922427384 | Robert Charles Reinert IIi | Physician Assistant | 540 S Governors Ave, Suite 201, Dover, DE 19904-3530 | 2014-04-14 |
| 1033450192 | Volha Stepanovna Komar | Physician Assistant | 540 S Governors Ave, Suite 201, Dover, DE 19904-3530 | 2013-03-13 |
| 1477702819 | Brittany Marie Dixon | Physician Assistant | 285 Beiser Blvd Ste 201, Dover, DE 19904-7801 | 2008-09-10 |
| 1033297494 | Nicole A Fisher | Physician Assistant | 540 S Governors Ave, Ste100a, Dover, DE 19904-3530 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285856716 | Jill Rachel Mermagen | Physician Assistant | 4755 Stanton Ogletown Road, Newark, DE 19711 | 2007-05-03 |
| 1659597870 | Todd Francis Cox Cecchini | Physician Assistant | 7th & Clayton, Wilmington, DE 19805 | 2007-04-17 |
| 1174609168 | Brian Mccarthy | Physician Assistant | Beebe Medical Center, 424 Savannah Road, Lewes, DE 19958-0226 | 2006-10-31 |
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1477029353 | Justin Fleegle | Physician Assistant | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2018-10-18 |
| 1972078103 | Megan Mylod | Physician Assistant | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2018-10-03 |
| 1124545488 | Monica Catherine Real Fraatz | Physician Assistant | 701 N Clayton St, Wilmington, DE 19805-3165 | 2017-08-28 |
| 1124570171 | Elisa Nicole Decicco | Physician Assistant | 701 N Clayton St, Wilmington, DE 19805-3165 | 2016-10-25 |
| 1750832812 | Crystal Dimauro | Physician Assistant | 3401 Brandywine Pkwy, Ste 100, Wilmington, DE 19803-1554 | 2016-10-24 |
| 1306217211 | Kelsey L Welsh | Physician Assistant | 329 Mullet Run, Milford, DE 19963-5373 | 2015-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.