Lourdes Abadilla Ustaris, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA063152 Issued in NJ

Practice address

Sullivan Way
Trenton Psychiatric Hospital
West Trenton, NJ 08628

Phone

(609) 633-1557

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1598849549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUSANNA WAY",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404220",
            "telephone_number": "215-497-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SULLIVAN WAY",
            "address_2": "TRENTON PSYCHIATRIC HOSPITAL",
            "city": "WEST TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-633-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USTARIS",
        "first_name": "LOURDES",
        "middle_name": "ABADILLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA063152",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD056699L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "026394C2D",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William - Silverman, M.D.
• Dara Beth Smithson, M.S.
• Richard Lee Stoneking, PT
• Matthew Toth, P.T.
• Raksha A Trivedi, M.D
• Alejandro Montana Valdellon, M.D.
• Heather C. Williamson, MD, PA

• Psychiatry Physician in West Trenton, NJ
• Providers in West Trenton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.