Steven Lustbader, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI109626 Issued in NJ

Practice address

35 Throckmorton LN
Old Bridge, NJ 08857-2548

Phone

(732) 679-8400

Fax

(732) 679-1233

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194825463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VALLEY FORGE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163275",
            "telephone_number": "732-679-8400",
            "fax_number": "732-679-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572548",
            "telephone_number": "732-679-8400",
            "fax_number": "732-679-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTBADER",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI109626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Ann Lowe Washington, RPH
• Nelson Festejo Lu, PT, DPT
• Lucyna Krystyna Lupicki, M.D.
• Marek Robert Lupicki, M.D.
• Scott David Lurie, DMD
• Luxottica of America Inc (Target Optical P663)
• M&S Supportive Care LLC
• Angela Dorota Maciag, PA-C
• Andrew T. Madaj, M.D.
• Alexandra Madrigal

• Endodontics in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.