Andrew Thomas Lust, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102467300 Issued in NJ

Practice address

614 Sicklerville Rd
Williamstown, NJ 08094-1217

Phone

(856) 728-9494

NPI assigned

Apr 21, 2011

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Dental Inc

  • Dental Clinic/Center
  • Williamstown, NJ
  • NPI 1952129629
  NPD (past)
• Daniel C. Schwartz, DDS

  • Dentist
  • Williamstown, NJ
  • NPI 1043397383
  NPD (past)

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1215228432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941217",
            "telephone_number": "856-728-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941217",
            "telephone_number": "856-728-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUST",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102467300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifemap Diagnostic LLC
• Blanca Lira, LPN
• LL Medical Clinic NJ PC
• Steven Michael Lowry, D.O.
• Jessica Luczny, PHARMD
• Jeffrey R Mack, D.M.D.
• Mainstay Center for Counseling LLC
• Michael Lewis Maiorano, LCSW
• Skye A Majka, PA-C
• James Joseph Malecka, D.O.

• General Practice Dentistry in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.