Erin N Lustbader, MS, TSSLD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1110 South Ave Ste 405
Staten Island, NY 10314-3414

Phone

(718) 556-1616

NPI assigned

Aug 19, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Sunny Days Early Childhood Developmental Services, Inc.

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1578717435
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1407403132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 34TH ST APT 20G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164631",
            "telephone_number": "973-494-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE STE 405",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143414",
            "telephone_number": "718-556-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTBADER",
        "first_name": "ERIN",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "MS, TSSLD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lund, OTR/L
• Debra Lungaretti
• Justine Luong, OTR
• Gina Luongo
• Francis Lupo, PT,DPT
• Claudia Sarah Luto, DDS
• Mark Lutses, SPL/TSHH
• Donna Marie Lutz, MSCCC-A
• Patricia F Lutz, RN
• Luxottica of America Inc.

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.