Individual provider Active NPI

Joseph Pawelezyke, REGISTERED NURSE BSN

  • Ambulatory Care Registered Nurse
  • Toledo, OH
National Provider Identifier
1235005695
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN9183870 Issued in FL
Practice address
1200 S Detroit Ave
Toledo, OH 43614-5903
Phone
(419) 259-2000
NPI assigned
Oct 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN9183870 FL Primary

Addresses

Primary practice location

1200 S Detroit Ave
Toledo, OH 43614-5903

Mailing address

1296 Valetta Dr
Temperance, MI 48182-2608
Phone (734) 847-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN9183870FLMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1235005695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 VALETTA DR",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481822608",
            "telephone_number": "734-847-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S DETROIT AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436145903",
            "telephone_number": "419-259-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELEZYKE",
        "first_name": "JOSEPH",
        "credential": "REGISTERED NURSE BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN9183870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.