ROSHANI GUNAWARDENA
NPI 1154087963
Registered Nurse in Staten Island, NY

Q: What is Roshani Gunawardena's NPI number?

The NPI number for Roshani Gunawardena is 1154087963. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Q: What is Roshani Gunawardena's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since November 16, 2021PECOS Enrolled

417 CARY AVE, STATEN ISLAND, NY 10310(917) 373-2323 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Nov 16, 2021 (2 updates tracked since 2021).

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About Roshani Gunawardena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSHANI GUNAWARDENA (NPI 1154087963) is an individual registered nurse in Staten Island, New York, licensed in New York (788108) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154087963

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameROSHANI GUNAWARDENA

Location Address417 CARY AVEStaten Island, NY 10310-2043

Mailing Address417 Cary AveStaten Island, NY 10310-2043 · (917) 373-2323

Phone(917) 373-2323

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 16, 2021

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1154087963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 788108

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 406741 (NY)

417 CARY AVE, Staten Island, NY 10310

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roshani Gunawardena is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446722920

PECOS Enrollment IDI20260616001720

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Roshani Gunawardena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Nurse Practitioner In Psychiatry PLLC

13 mi

Psychiatric/Mental Health

157 E 86TH ST STE 4
New York, NY 10028

Reassigned Medicare billing, New York enrollment
35 clinicians in this Medicare group

NPI 1336745058 (718) 790-4511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roshani Gunawardena's NPI number?

The NPI number for Roshani Gunawardena is 1154087963. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Roshani Gunawardena located?

Roshani Gunawardena practices at 417 Cary Ave, Staten Island, NY 10310. The listed phone number is (917) 373-2323.

What is Roshani Gunawardena's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Roshani Gunawardena enrolled in Medicare?

Yes. Roshani Gunawardena is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roshani Gunawardena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roshani Gunawardena reassigns Medicare benefits to Integrative Wellness Nurse Practitioner In Psychiatry PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roshani Gunawardena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roshani Gunawardena was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.