Active NPIIndividual provider

Dr. Inna Nutanson, MD

Healthcare Provider in Fair Lawn, New Jersey

NPI Number1558522748
Practice location
302 High St Apt G42, Fair Lawn, NJ 07410-6414
Fax
—
Last updated
August 10, 2026

Inna Nutanson is a Healthcare Provider based in Fair Lawn, NJ. Inna Nutanson practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Inna Nutanson is 1558522748 and holds a License No. 264904-01 (NY). The current practice location address for Inna Nutanson is 302 High St Apt G42, Fair Lawn, NJ 07410-6414 and can be reached out via phone at 201-835-8246.

Provider Profile Details

NPI Number
1558522748
Provider Name
Inna Nutanson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
302 High St Apt G42, Fair Lawn, NJ 07410-6414
Phone Number
201-835-8246
Primary Taxonomy
Healthcare Provider · 2085N0700X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2008
Last Update Date
August 10, 2026
Certification Date
August 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 High St Apt G42
Fair Lawn, NJ 07410-6414
Zip
07410-6414
Phone Number
201-835-8246
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
302 High St Apt G42
Fair Lawn, NJ 07410-6414
City
Fair Lawn
State
NJ
Zip
07410-6414
Phone Number
201-835-8246

License Information

License Number (1)
264904-01
License State (1)
NY
Taxonomy (1)
· 2085N0700X · Primary
License Number (2)
264904-01
License State (2)
NY
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Inna Nutanson, MD?

The NPI number of Dr. Inna Nutanson, MD is 1558522748. It was assigned on June 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Inna Nutanson, MD?

Dr. Inna Nutanson, MD is registered under the primary taxonomy Healthcare Provider (code 2085N0700X), licensed in NY under license number 264904-01.

Where does Dr. Inna Nutanson, MD practice?

The practice location is 302 High St Apt G42, Fair Lawn, NJ 07410-6414. The office can be reached at 201-835-8246 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558522748 directly on the NPPES registry website.

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