LAKESIDE NEUROLOGY OF NEW JERSEY
NPI 1356537708
Specialist in Newark, NJ

Active since September 19, 2007
1 GATEWAY CTR, #2600, NEWARK, NJ 07102(847) 510-0530(888) 317-4206 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Neurology Of New Jersey NPPES

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

LAKESIDE NEUROLOGY OF NEW JERSEY (NPI 1356537708) is a healthcare organization registered as a specialist in Newark, New Jersey and active in the NPI registry since September 2007. The organization lists Tom G Winger, Director, as its authorized official.

NPPES Registry Identity

NPI1356537708
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKESIDE NEUROLOGY & RADIOLOGY OF NEW JERSEY PC
Location Address1 GATEWAY CTR, #2600Newark, NJ 07102-5310
Mailing Address1 Gateway Ctr, #2600Newark, NJ 07102-5310 · (847) 510-0530 · Fax (888) 317-4206
Fax(888) 317-4206
Organization SubpartNo
Authorized OfficialTom G WingerDirector · (847) 510-0530
Enumeration DateSeptember 19, 2007
Last NPPES UpdateNovember 12, 2009
NPI 1356537708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA07746800
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.

1 GATEWAY CTR, Newark, NJ 07102

Other Names 1

Doing Business AsLakeside Neurology Of New Jersey

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

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.

Psychologist (Cognitive & Behavioral)
1 GATEWAY CTR
NEWARK, NJ 07102
Dentist
1 GATEWAY CTR, SUITE 2600
NEWARK, NJ 07102
Home Health
1 GATEWAY CTR, 2600
NEWARK, NJ 07102
Nurse Practitioner
1 GATEWAY CTR, SUITE 2600
NEWARK, NJ 07102
Pharmacy (Long Term Care Pharmacy)
1 GATEWAY CTR, GATEWAY PHARMACY
NEWARK, NJ 07102
Dentist
1 GATEWAY CTR, SUITE 2600
NEWARK, NJ 07102
Pharmacy (Community/Retail Pharmacy)
1 GATEWAY CTR
NEWARK, NJ 07102
Home Health
1 GATEWAY CTR, SUITE 2600
NEWARK, NJ 07102

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 Lakeside Neurology & Radiology Of New Jersey PC's NPI number?

The NPI number for Lakeside Neurology & Radiology Of New Jersey PC is 1356537708. It was assigned to this organization in the NPPES registry on September 19, 2007. The provider is doing business as Lakeside Neurology Of New Jersey.

Where is Lakeside Neurology & Radiology Of New Jersey PC located?

Lakeside Neurology & Radiology Of New Jersey PC is located at 1 Gateway Ctr #2600, Newark, NJ 07102. The listed phone number is (847) 510-0530.

What is Lakeside Neurology & Radiology Of New Jersey PC'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 Lakeside Neurology & Radiology Of New Jersey PC was last updated on November 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.