Active NPIIndividual providerSole proprietor

Andrei Logvinenko, MD

Physical Medicine & Rehabilitation in Fair Lawn, New Jersey

NPI Number1952348195
Practice location
14-25 Plaza Road, S-3-1, Fair Lawn, NJ 07410-3546
Fax
201-797-2051
Last updated
November 14, 2016

Andrei Logvinenko is a Physical Medicine & Rehabilitation based in Fair Lawn, NJ. Andrei Logvinenko practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Andrei Logvinenko is 1952348195 and holds a License No. MA63969 (NJ). The current practice location address for Andrei Logvinenko is 14-25 Plaza Road, S-3-1, Fair Lawn, NJ 07410-3546 and can be reached out via phone at 201-797-2050 and via fax at 201-797-2051.

Provider Profile Details

NPI Number
1952348195
Provider Name
Andrei Logvinenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14-25 Plaza Road, S-3-1, Fair Lawn, NJ 07410-3546
Phone Number
201-797-2050
Fax Number
201-797-2051
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 31, 2006
Last Update Date
November 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
14-25 Plaza Road
S-3-1
Fair Lawn, NJ 07410-3546
Zip
07410-3546
Phone Number
201-797-2050
Fax Number
201-797-2051
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
Po Box 37
Franklin Lakes, NJ 07417-0037
City
Franklin Lakes
State
NJ
Zip
07417-0037
Phone Number
201-797-2050
Fax Number
201-797-2051

License Information

License Number (1)
MA63969
License State (1)
NJ
Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X · Primary
License Number (2)
210854
License State (2)
NY
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X

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 Andrei Logvinenko, MD?

The NPI number of Andrei Logvinenko, MD is 1952348195. It was assigned on May 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrei Logvinenko, MD?

Andrei Logvinenko, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number MA63969.

Where does Andrei Logvinenko, MD practice?

The practice location is 14-25 Plaza Road, S-3-1, Fair Lawn, NJ 07410-3546. The office can be reached at 201-797-2050 (phone) or 201-797-2051 (fax).

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 1952348195 directly on the NPPES registry website.

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