Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Inna Nutanson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558522748

Dr. Inna Nutanson, MD is a Diagnostic Radiology in Fair Lawn, New Jersey. Qualified in 2007, 19 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

302 High St Apt G-42
Fair Lawn, NJ 07410-3560
Phone: (201) 835-8246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558522748
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008
Mailing address302 High St, Apt G-42, Fair Lawn, NJ 07410-3560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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