Individual provider Active NPI

Wioletta Tedawes

  • Administrator Registered Nurse
  • New York, NY
National Provider Identifier
1710815949
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
642897 Issued in NY
Practice address
535 2ND Ave
New York, NY 10016-8275
Phone
(212) 889-5477
NPI assigned
May 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 642897 NY Primary

Addresses

Primary practice location

535 2ND Ave
New York, NY 10016-8275

Mailing address

6120 Grand Central Pkwy Apt A300
Forest Hills, NY 11375-1271
Phone (929) 215-9944

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

State licenses

LicenseStateTypeSpecialty
642897NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1710815949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY APT A300",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751271",
            "telephone_number": "929-215-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168275",
            "telephone_number": "212-889-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDAWES",
        "first_name": "WIOLETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "642897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.