Individual provider Active NPI

Luiza Donkina, MD

  • Pediatrics Physician
  • Fair Lawn, NJ
National Provider Identifier
1174625263
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06651200 Issued in NJ
Practice address
40-06 Morlot Ave
Fair Lawn, NJ 07410-4939
Phone
(201) 797-5836
Fax
(201) 797-5836
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06651200 NJ
Pediatrics Physician 208000000X 25MA06651200 NJ Primary

Addresses

Primary practice location

40-06 Morlot Ave
Fair Lawn, NJ 07410-4939

Mailing address

40-06 Morlot Ave
Fair Lawn, NJ 07410-4939
Phone (201) 797-5836

Other identifiers 1

IdentifierTypeStateIssuer
7555709MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174625263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-06 MORLOT AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104939",
            "telephone_number": "201-797-5836",
            "fax_number": "201-797-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-06 MORLOT AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104939",
            "telephone_number": "201-797-5836",
            "fax_number": "201-797-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKINA",
        "first_name": "LUIZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06651200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06651200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7555709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.