LUNG DOCTOR LLC
NPI 1194770966
Internal Medicine - Pulmonary Disease in Newark, NJ

Q: What is Lung Doctor LLC's NPI number?

The NPI number for Lung Doctor LLC is 1194770966. It was assigned to this organization in the NPPES registry on May 23, 2006.

Q: What is Lung Doctor LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Lung Doctor LLC was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 23, 2006

722 SANFORD AVE, NEWARK, NJ 07106(973) 399-9090 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lung Doctor Llc NPPES

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

LUNG DOCTOR LLC (NPI 1194770966) is a healthcare organization registered as a pulmonary disease in Newark, New Jersey and active in the NPI registry since May 2006. The organization lists Akingboju Gbaysomore, Owner, as its authorized official.

NPPES Registry Identity

NPI1194770966

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameLUNG DOCTOR LLC

Location Address722 SANFORD AVENewark, NJ 07106-3627

Mailing Address722 Sanford AveNewark, NJ 07106-3627 · (973) 399-9090

Phone(973) 399-9090

Organization SubpartNo

Authorized OfficialAkingboju GbaysomoreOwner · (973) 399-9090

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 30, 2008

✔ NPI 1194770966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NJ · MA58862

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MA58862 (NJ)

722 SANFORD AVE, Newark, NJ 07106

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Other Identifiers 3

Medicaid7240406NJ

Medicare PIN122894NJ

Medicare UPINF71216NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Lung Doctor LLC's NPI number?

The NPI number for Lung Doctor LLC is 1194770966. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Lung Doctor LLC located?

Lung Doctor LLC is located at 722 Sanford Ave, Newark, NJ 07106. The listed phone number is (973) 399-9090.

What is Lung Doctor LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Lung Doctor LLC was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.