Logan Health Center Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LOGAN HEALTH CENTER INC

Practice address

5008 Old York Rd
Philadelphia, PA 19141-2786

Phone

(215) 455-5403

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

Tan Nguyen, CRNPNPI 1609523802

Title

Provider

Phone

(267) 992-9770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tan Duy Nguyen, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1609523802
  Medicare reassignment NPD Authorized official
• Phuong Ngoc Trinh, M.D

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1093754376
  NPD (past)

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1194685099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N SYLVANIA AVE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464268",
            "telephone_number": "267-992-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412786",
            "telephone_number": "215-455-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "267-992-9770",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney J. Lofts, NNP-BC
• Loftus-Mermer Oral Surgical Associates
• Alyssa Dinardo Loftus, PMHNP-BC
• Christopher Miranda Loftus, MD
• Michael J Loftus, DDS
• Logan Operator LLC
• Logan Operator LLC
• Ayesha Nicole Logan, CRNP
• Caitlin Logan
• Gail Logan, MHS

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.