Active NPI
Oliver Niedzwiecki, RN
- Registered Nurse
- Toledo, OH
National Provider Identifier
1689341133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 496857
- Practice address
- 3170 W Central Ave Ste B
Toledo, OH 43606-2945 - Phone
- (567) 316-7253
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 496857 | OH | Primary |
Addresses
Primary practice location
3170 W Central Ave Ste B
Toledo, OH 43606-2945
Mailing address
3170 W Central Ave Ste B
Toledo, OH 43606-2945
Phone (567) 316-7253
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 496857 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1689341133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE STE B",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "567-316-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE STE B",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "567-316-7253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDZWIECKI",
"first_name": "OLIVER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "496857",
"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 Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.