Koggan & Lustig Dentistry, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01148000 Issued in NJ

Legal business name

KOGGAN & LUSTIG DENTISTRY, P.A.

Practice address

107 Hamilton St
Bound Brook, NJ 08805-2016

Phone

(732) 356-1651

Fax

(732) 271-1073

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry Howard Lustig, D.M.D.

Title

Owner

Phone

(732) 356-1651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851428478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HAMILTON ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052016",
            "telephone_number": "732-356-1651",
            "fax_number": "732-271-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HAMILTON ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052016",
            "telephone_number": "732-356-1651",
            "fax_number": "732-271-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOGGAN & LUSTIG DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-356-1651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01148000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.