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LAKELAND CARDIOLOGY CENTER, PA
NPI 1053368837
Specialist in Mountain Lakes, NJ

Active since May 27, 2006
415 BOULEVARD, MOUNTAIN LAKES, NJ 07046(973) 334-7700(973) 263-5225 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeland Cardiology Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELAND CARDIOLOGY CENTER, PA (NPI 1053368837) is a healthcare organization registered as a specialist in Mountain Lakes, New Jersey and active in the NPI registry since May 2006. The organization lists Robert M. Wall, President, as its authorized official.

NPPES Registry Identity

NPI1053368837
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKELAND CARDIOLOGY CENTER, PA
Location Address415 BOULEVARDMountain Lakes, NJ 07046-1723
Mailing Address415 BoulevardMountain Lakes, NJ 07046-1723 · (973) 334-7700 · Fax (973) 263-5225
Phone(973) 334-7700
Fax(973) 263-5225
Organization SubpartNo
Authorized OfficialRobert M. WallPresident · (973) 334-7700
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053368837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 207RC0000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
415 BOULEVARD, Mountain Lakes, NJ 07046
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Other Identifiers 1

Medicaid6565506NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH S LEIBOWITZ DO
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
PAUL D DERENZI MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
PHILIP S ROGERS MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
HYEUN S PARK MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
MICHAEL MALAGOLD MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
PHILLIP RUISI DO
Internal Medicine (Interventional Cardiology)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700
MICHAEL D BLICK MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKE, NJ 07046
Morris County (973) 334-7700
SHEIKH MARIE NAEEM MD
Internal Medicine (Cardiovascular Disease)
415 BOULEVARD
MOUNTAIN LAKES, NJ 07046
Morris County (973) 334-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeland Cardiology Center, PA's NPI number?

The NPI number for Lakeland Cardiology Center, PA is 1053368837. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Lakeland Cardiology Center, PA located?

Lakeland Cardiology Center, PA is located at 415 Boulevard, Mountain Lakes, NJ 07046. The listed phone number is (973) 334-7700.

What is Lakeland Cardiology Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lakeland Cardiology Center, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.