Individual provider Active NPI

Nina Logvinenko, M.D.

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1275570335
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA67595 Issued in NJ
Practice address
14-25 Plaza Rd Ste S31
Fair Lawn, NJ 07410-3549
Phone
(201) 797-2050
Fax
(201) 797-2051
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA67595 NJ Primary

Addresses

Primary practice location

14-25 Plaza Rd Ste S31
Fair Lawn, NJ 07410-3549

Mailing address

PO Box 37
Franklin Lakes, NJ 07417-0037
Phone (201) 790-6207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000691 NJ Practitioner - Internal Medicine 9830167824 Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 -25 Plaza
Suite 1
Fair Lawn, NJ 07410-3546
Phone (201) 797-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PT Medical Center, PC Internal Medicine Past Accepting new patients
Jointkare Physical Therapy and Services Professional Association PastSince Apr 1, 2013 Accepting new patients
Medicine and Rehabilitation PC Internal Medicine PastSince Nov 14, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1275570335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170037",
            "telephone_number": "201-790-6207",
            "fax_number": "201-797-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD STE S31",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103549",
            "telephone_number": "201-797-2050",
            "fax_number": "201-797-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGVINENKO",
        "first_name": "NINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA67595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.