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

Lung Doctor LLC

Organization Pulmonary Disease Physician · NPI 1194770966

Lung Doctor LLC is a Pulmonary Disease Physician in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

722 Sanford Ave
Newark, NJ 07106-3627
Phone: (973) 399-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MA58862 (NJ)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence MA58862 (NJ)

Record details

NPI number1194770966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akingboju Gbaysomore — Owner · (973) 399-9090
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 30, 2008
Mailing address722 Sanford Ave, Newark, NJ 07106-3627

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