Active NPI
Judith P Lustig, M.D.
- Neurology Physician
- Livingston, NJ
National Provider Identifier
1114025913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA05156700
- Practice address
- 200 S Orange Ave
Ste 101
Livingston, NJ 07039-5817 - Phone
- (973) 322-7580
- Fax
- (973) 322-7505
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA05156700 | NJ | Primary |
Addresses
Primary practice location
200 S Orange Ave
Ste 101
Livingston, NJ 07039-5817
Mailing address
18 E 41St St
Ste 1206
New York, NY 10017-6222
Phone (212) 725-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05156700 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Neurology and Neurosurgery at Saint Barnabas | Neurology | Past | Accepting new patients |
| Valley Institute for Pain, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2f26dc99-c358-4b2b-a63e-0bdfec0a9b98/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Livingston, NJ
- NPI 1386656270
-
- Pain Medicine (Anesthesiology) Physician
- Paramus, NJ
- NPI 1023119849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1114025913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E 41ST ST",
"address_2": "STE 1206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176222",
"telephone_number": "212-725-8511",
"fax_number": "212-726-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"address_2": "STE 101",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7580",
"fax_number": "973-322-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTIG",
"first_name": "JUDITH",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA05156700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.