Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeside Neurology & Radiology of New Jersey PC

Organization Specialist · NPI 1356537708

Lakeside Neurology & Radiology of New Jersey PC provides Specialist services in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Gateway Ctr #2600
Newark, NJ 07102-5310 Not confirmed with CMS for 16 years — call before visiting
Phone: (847) 510-0530
Fax: (888) 317-4206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA07746800 (NJ)

Record details

NPI number1356537708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Winger — Director · (847) 510-0530
Other names Lakeside Neurology Of New Jersey
NPI enumeratedSeptember 19, 2007
Last updated in NPPESNovember 12, 2009
Mailing address1 Gateway Ctr, 2600, Newark, NJ 07102-5310

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