Maria L. Kush-Lubak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS029240L Issued in PA

Practice address

Route 422, Sportsman Road
Building 37
Wernersville, PA 19565-0300

Phone

(610) 678-3411

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria L Kush Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1902832983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STATE ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261821",
            "telephone_number": "610-562-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 422, SPORTSMAN ROAD",
            "address_2": "BUILDING 37",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195650300",
            "telephone_number": "610-678-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSH-LUBAK",
        "first_name": "MARIA",
        "middle_name": "L.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029240L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "KUSH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Polly Kahl, M.A., L.P.C.
• Scott R. Kaneff, M.D.
• Parshottam Narshi Kasundra, MD
• Steven Klein, MD/PHD
• Olivia Knecht
• Jennifer Kwiatkowski, OTR/L
• Michael D Lance, MD
• David A. Lawrence, M.D.
• Haley Ann Lefevre
• Kendra M Leffler

• Dentist in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.