Lung Doctor LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA58862 Issued in NJ

Legal business name

LUNG DOCTOR LLC

Practice address

722 Sanford Ave
Newark, NJ 07106-3627

Phone

(973) 399-9090

NPI assigned

May 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Akingboju Gbaysomore, DO

Title

Owner

Phone

(973) 399-9090

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonya L Goodrich, NP

  • Adult Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1053528356
  NPD (past)
• Betty Merveil-Ceneus, APN

  • Nurse Practitioner
  • Summit, NJ
  • NPI 1316194756
  NPD (past)
• Hazel Ann Nurse, M.D.

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1619190089
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1194770966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 SANFORD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063627",
            "telephone_number": "973-399-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 SANFORD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063627",
            "telephone_number": "973-399-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "GBAYSOMORE",
        "authorized_official_first_name": "AKINGBOJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-399-9090",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA58862",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "MA58862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7240406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Luikart
• Luis a. Yerovi MD PA
• Brian Luke, M.D.
• Michael Luna
• Patricia Lundgren
• Keri Elizabeth Lunsford, M.D., PH.D.
• Roger Luo, M.D.
• Skylar Luu
• Luv Grows Inc.
• Madelyn Lorene Lux

• Pulmonary Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.