Eugene Jay Lustgarten, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

476 Issued in CT

Practice address

3075 W Oakland Park Blvd Ste 101
Oakland Park, FL 33311-1215

Phone

(954) 677-8484

Fax

(954) 677-8966

NPI assigned

Aug 16, 2006

Last updated

Oct 9, 2011By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Dr. Lustgarten

  • Chiropractor
  • Madison, CT
  • NPI 1578736120
  NPD (past) Authorized official
• Jason M Jewell, DC, PA

  dba Strategic Health Solutions of the Palm Beaches

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1649818345
  NPD (past)
• Coastal Chiropractic & Wellness Inc.

  • Chiropractor
  • Madison, CT
  • NPI 1376798983
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318118400000",
    "number": "1669585691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W OAKLAND PARK BLVD STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111215",
            "telephone_number": "954-677-8484",
            "fax_number": "954-677-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 W OAKLAND PARK BLVD STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111215",
            "telephone_number": "954-677-8484",
            "fax_number": "954-677-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTGARTEN",
        "first_name": "EUGENE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "476",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4616",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003820-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4095099",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; 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.