IndividualActive
Susana Tedjasendjaja
NPI 1760813182 · Registered Nurse · Woodside, NY
Susana Tedjasendjaja is a Registered Nurse provider in Woodside, NY (NPI 1760813182).
Provider details
- NPI number
- 1760813182
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 677806 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3820 54th St
Woodside, NY 11377-2417
Phone: (917) 412-2102
Street-level locationGet directions
Mailing address
3820 54th St
Woodside, NY 11377-2417
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2013-12-11
Frequently asked questions
- What is Susana Tedjasendjaja's NPI number?
- Susana Tedjasendjaja's National Provider Identifier (NPI) is 1760813182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susana Tedjasendjaja's specialty?
- Susana Tedjasendjaja is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Susana Tedjasendjaja located?
- Susana Tedjasendjaja's practice location on file with NPPES is 3820 54th St, Woodside, NY 11377-2417.
- What is Susana Tedjasendjaja's phone number?
- The practice phone number listed in the NPPES registry for Susana Tedjasendjaja is (917) 412-2102.
- Is Susana Tedjasendjaja's NPI active?
- Yes — Susana Tedjasendjaja's NPI (1760813182) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.