Organization Active NPI

George a Lustig MD PA

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1881854933
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEORGE A LUSTIG MD PA
Practice address
7710 NW 71St Court Suite 204
Tamarac, FL 33321-2913
Phone
(954) 724-0099
Fax
(954) 724-0070
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. George A Lustig, MD
Title
Pres
Phone
(954) 724-0099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X FL Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X FL

Addresses

Primary practice location

7710 NW 71St Court Suite 204
Tamarac, FL 33321-2913

Mailing address

7710 NW 71St Court Suite 204
Tamarac, FL 33321-2913

Other identifiers 1

IdentifierTypeStateIssuer
275786900MedicaidFL

National Provider Directory

National Provider Directory

Locations

7710 NW 71st Ct
Ste 204
Tamarac, FL 33321
Phone (954) 960-2168

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1881854933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST COURT SUITE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST COURT SUITE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913",
            "telephone_number": "954-724-0099",
            "fax_number": "954-724-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A LUSTIG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "954-724-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275786900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.