EDYTA KINGA WISNIEWSKA (NPI# 1780114157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780114157 |
| Entity Type | Individual |
| Full Name | EDYTA KINGA WISNIEWSKA |
| Credential | NP |
| Practice Address |
173 Fort Washington Ave New York NY 10032-3739 |
| Mailing Address |
32 Spring St Apt 120 Wallington NJ 07057-2030 |
| Practice Telephone | 2123052500 |
| Mailing Telephone | 5517953024 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
26NR16881300 | NJ | Nursing Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
715683-1 | NY | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
715683-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DRIVER'S LICENSE | W46691947256904 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Prospect Ave, Hackensack, NJ 076011915 | 5519962000 |
| Street Address |
173 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689994501 | David Planer | Student in an Organized Health Care Education/Training Program | 173 Fort Washington Ave, 2nf Fl, New York, NY 10032 | 2010-06-02 |
| 1912357799 | Marlena Vanessa Habal | Internal Medicine | 173 Fort Washington Ave, New York, NY 10032-3739 | 2016-06-13 |
| 1013275528 | Geoffrey Rubin | Internal Medicine | 173 Fort Washington Ave, New York, NY 10032-3739 | 2012-05-03 |
| 1669780201 | Margaret Bridget Mcentegart | Student in an Organized Health Care Education/Training Program | 173 Fort Washington Ave, 2nd Floor, New York, NY 10032 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
| 1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
| 1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
| 1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
| 1386283968 | Marina Khazan | Nurse Practitioner | 550 1st Ave # Th1803, New York, NY 10016-6402 | 2019-12-31 |
| 1215574306 | Anne Leon | Nurse Practitioner | 149 Edgecombe Ave Apt B3, New York, NY 10030-1195 | 2019-12-08 |
| 1467098194 | Meifung Schuman | Nurse Practitioner | 885 Avenue of The Americas Apt 9b, New York, NY 10001-3523 | 2019-11-18 |
| 1063069557 | Emily Mara | Nurse Practitioner | 161 Fort Washington Ave Ste 567, New York, NY 10032-3729 | 2019-08-20 |
| 1780236026 | Margot Stluka | Nurse Practitioner | 536 E 89th St Apt 2d, New York, NY 10128-7893 | 2019-07-16 |
| 1336701143 | Alexa Kristen Green | Nurse Practitioner | 175 E 96th St Apt 9c, New York, NY 10128-6204 | 2019-07-01 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.