GARY JAMES LUSTGARTEN M.D.F.A.C.S. MD NPI 1740366368

NPI Information

NPI: 1740366368
Provider Name: GARY JAMES LUSTGARTEN, M.D.,F.A.C.S., MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
100 NW 170TH ST
SUITE 302
NORTH MIAMI BEACH, FL
ZIP 33169
Phone: (305) 653-5155
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Gary James Lustgarten, M.d.,f.a.c.s., MD is a specialist in North Miami Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Gary James Lustgarten, M.d.,f.a.c.s., MD NPI is 1740366368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 NW 170TH ST
SUITE 302
NORTH MIAMI BEACH, FL
ZIP 33169-513
Phone: (305) 653-5155
Fax: (305) 653-5513

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME0016186	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D65607	MEDICARE UPIN	FLORIDA
2	91134	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE & BCBS OF FL #'S

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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