Michael E. Lustgarten M.D. P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0036091 Issued in FL

Legal business name

MICHAEL E. LUSTGARTEN M.D. P.A.

Practice address

834 E Ocean Blvd
Stuart, FL 34994-2428

Phone

(772) 286-2950

Fax

(772) 286-2339

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael E. Lustgarten, M.D.NPI 1376525501

Title

Owner

Phone

(772) 286-2950

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Emory Lustgarten, MD

  • Urology Physician
  • Stuart, FL
  • NPI 1376525501
  Authorized official Same address or phone

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1588938484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942428",
            "telephone_number": "772-286-2950",
            "fax_number": "772-286-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942428",
            "telephone_number": "772-286-2950",
            "fax_number": "772-286-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. LUSTGARTEN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "LUSTGARTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-286-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0036091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340000180",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065662300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Meyering
• Jessica Ellyn Meyers
• Denisse Katherine Meza
• Camila Mezerene I
• MG Primary Care Solutions
• Michael Fogt P a
• Kaitlyn Mary Michael, M.S.
• Kayla Christine Michaloski
• Sagine Michaud
• Myriame Michel Joseph

• Urology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.