Healthcare Provider Details

I. General information

NPI: 1689594699
Provider Name (Legal Business Name): DEVIN C CHUDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HIGH ST
NEWTON NJ
07860-1020
US

IV. Provider business mailing address

3 SPRINGBROOK TER
SPARTA NJ
07871-1221
US

V. Phone/Fax

Practice location:
  • Phone: 973-383-9898
  • Fax:
Mailing address:
  • Phone: 908-328-8766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15611400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: