LEROY RAPHAEL LINDSAY


Address: 30 Bergen St # 101, Newark, NJ 07107-3000
Phone: 9739724394

LEROY RAPHAEL LINDSAY (NPI# 1811260151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811260151
Entity Type Individual
Full Name LEROY RAPHAEL LINDSAY
Credential M.D.
Practice Address 30 Bergen St # 101
Newark
NJ 07107-3000
Mailing Address 525 E68th Street
Baker Pavillion Fl-16
New York
NY 10065
Practice Telephone 9739724394
Practice Fax Number 9739725148
Enumeration Date 2012-02-16
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P0301X Physical Medicine & Rehabilitation
Specialization: Brain Injury Medicine
283145-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 30 BERGEN ST # 101
City NEWARK
State NJ
Zip Code 07107-3000

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Taxonomy Information

Taxonomy Code 2081P0301X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Brain Injury Medicine

Taxonomy Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Notes: Source: American Board of Physical Medicine and Rehabilitation, 2015. www.abpmr.org [1/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902148257 Ondrea Mckay Physical Medicine & Rehabilitation 90 Bergen Street, Doc 3100, Newark, NJ 07103 2013-03-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679950893 Matthew Moore Physical Medicine & Rehabilitation 65 James St, Edison, NJ 08820-3903 2015-04-27
1912325010 Paul K. Yoo Physical Medicine & Rehabilitation 300 Market St, Saddle Brook, NJ 07663-5318 2014-04-04

Competitor

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City NEWARK
Zip Code 07107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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