Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Larissa Sophia Dudley, MD

Individual provider Emergency Medicine Physician · NPI 1003251422

Dr. Larissa Sophia Dudley, MD is an Emergency Medicine in Newark, New Jersey. Qualified in 2013, 13 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Lyons Ave Ste D11
Newark, NJ 07112-2027
Phone: (973) 926-6671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME131434 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003251422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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