Active NPI
Medicine and Rehabilitation PC
- Internal Medicine Physician
- Englewood Cliffs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA67595
- Legal business name
- MEDICINE AND REHABILITATION PC
- Practice address
- 333 Sylvan Ave Ste 111
Englewood Cliffs, NJ 07632-2705 - Phone
- (201) 568-8500
- Fax
- (201) 568-8518
- NPI assigned
- May 31, 2006
- Last updated
- Jan 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrei Logvinenko, M.D.
- Title
- President
- Phone
- (201) 568-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA67595 | NJ | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | MA63969 | NJ |
Addresses
Primary practice location
333 Sylvan Ave Ste 111
Englewood Cliffs, NJ 07632-2705
Mailing address
PO Box 37
Franklin Lakes, NJ 07417-0037
Phone (201) 568-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14-25 Plaza Rd
#531
Fair Lawn, NJ 07410
Phone (201) 797-2050
14-25 Plaza Rd
Ste S31
Fair Lawn, NJ 07410
Phone (201) 797-2050
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Fair Lawn, NJ
- NPI 1952348195
-
- Specialist
- Fair Lawn, NJ
- NPI 1629248562
-
- Physical Therapist
- Ridgewood, NJ
- NPI 1346462348
-
- Physical Therapist
- Mountain Lakes, NJ
- NPI 1235220096
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1275570335
-
- Internal Medicine Physician
- Ridgewood, NJ
- NPI 1598889248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1407893662",
"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": "201-568-8500",
"fax_number": "201-568-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SYLVAN AVE STE 111",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322705",
"telephone_number": "201-568-8500",
"fax_number": "201-568-8518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE AND REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "LOGVINENKO",
"authorized_official_first_name": "ANDREI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-568-8500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA67595",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "MA63969",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.