IndividualActive
Grace Jetawo, RN
NPI 1164974069 · Registered Nurse · Ardsley, NY
Grace Jetawo, RN is a Registered Nurse provider in Ardsley, NY (NPI 1164974069).
Provider details
- NPI number
- 1164974069
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 698471-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
547 Saw Mill River Rd
Suite 3a
Ardsley, NY 10502-2143
Phone: (212) 687-7464
Approximate (ZIP-level) locationGet directions
Mailing address
45 Twin Pines Dr
Brooklyn, NY 11239-1810
Registry dates
- Enumerated
- 2016-10-27
- Last updated
- 2016-10-27
Frequently asked questions
- What is Grace Jetawo's NPI number?
- Grace Jetawo's National Provider Identifier (NPI) is 1164974069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Jetawo's specialty?
- Grace Jetawo is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Grace Jetawo located?
- Grace Jetawo's practice location on file with NPPES is 547 Saw Mill River Rd, Ardsley, NY 10502-2143.
- What is Grace Jetawo's phone number?
- The practice phone number listed in the NPPES registry for Grace Jetawo is (212) 687-7464.
- Is Grace Jetawo's NPI active?
- Yes — Grace Jetawo's NPI (1164974069) is active in the NPPES registry as of the last update on 2016-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.