Individual provider Active NPI

Robert H Lustig, D.O.

  • Gastroenterology Physician
  • Bridgewater, NJ
National Provider Identifier
1457394652
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB03774500 Issued in NJ
Practice address
766 US Highway 202/206 North
Suite 1
Bridgewater, NJ 08807-1773
Phone
(908) 722-0808
Fax
(908) 722-7645
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PC 1,027 clinicians

Practice addresses (Care Compare)

766 Route 202/206
Suite 1
Bridgewater, NJ 08807-1777
Phone (908) 722-0808

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000478 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 0143288670 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB03774500NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Internal Medicine CurrentSince Mar 10, 2014 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: rlustig15037@epicdirect.rwjbh.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB03774500 NJ
Gastroenterology Physician 207RG0100X 25MB03774500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

766 US Highway 202/206 North
Suite 1
Bridgewater, NJ 08807-1773

Mailing address

766 US Highway 202/206 North
Suite 1
Bridgewater, NJ 08807-1773
Phone (908) 722-0808

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0970808MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2017.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1457394652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202/206 NORTH",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202/206 NORTH",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB03774500",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB03774500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0970808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.