DR. BRUCE ROBERT LUSTBADER DMD
NPI 1104913516
Dentist - Endodontics in Lawrenceville, NJ

Q: What is Bruce Lustbader's NPI number?

The NPI number for Bruce Lustbader is 1104913516. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Bruce Lustbader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Bruce Lustbader enrolled in Medicare?

No. Bruce Lustbader has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Bruce Lustbader was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2006Opted out of Medicare · through Apr 8, 2028

168 FRANKLIN CORNER RD, BLDG 2, LAWRENCEVILLE, NJ 08648(609) 896-2400(609) 896-2401 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bruce Robert Lustbader Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE ROBERT LUSTBADER DMD (NPI 1104913516) is an individual endodontics provider in Lawrenceville, New Jersey, licensed in New Jersey (11759) and active in the NPI registry since October 2006. He has opted out of Medicare through April 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104913516

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BRUCE ROBERT LUSTBADERCredential: DMD

Location Address168 FRANKLIN CORNER RD, BLDG 2Lawrenceville, NJ 08648

Mailing Address168 Franklin Corner Rd, Bldg 2Lawrenceville, NJ 08648 · (609) 896-2400 · Fax (609) 896-2401

Phone(609) 896-2400

Fax(609) 896-2401

Sole ProprietorNo

Enumeration DateOctober 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104913516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in NJ · 11759

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

168 FRANKLIN CORNER RD, Lawrenceville, NJ 08648

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bruce Robert Lustbader Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 8, 2016 through April 8, 2028.

Opt-Out Effective DateApril 8, 2016

Opt-Out In Effect ThroughApril 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAPHNE DUVALSAINT DADZIE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

168 FRANKLIN CORNER RD, BUILDING 1, SUITE 2A
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-0075

MS. ELIZABETH BOYER FIER MA, LPC, NCC

Counselor (Professional)

168 FRANKLIN CORNER RD, STE. B210
LAWRENCEVILLE, NJ 08648

Mercer County (609) 647-0714

NICOLE HERRMANN LCSW

Social Worker (Clinical)

168 FRANKLIN CORNER RD, SUITE B210
LAWRENCEVILLE, NJ 08648

Mercer County (302) 220-0224

DR. JENNIFER K FUHRMANN-BERGER PHARMD

Pharmacist

168 FRANKLIN CORNER RD, BUILD 2 SUITE 201
LAWRENCEVILLE, NJ 08648

Mercer County (609) 219-0400

BRIAN PEI-EN HSU OTD, OTR/L

Occupational Therapist (Pediatrics)

168 FRANKLIN CORNER RD, BUILDING 1, 1ST FLOOR
LAWRENCEVILLE, NJ 08648

Mercer County (609) 299-1279

DR. CATHERINE RUTHERFORD AU.D.

Audiologist

168 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP, NJ 08648

Mercer County (609) 303-5163

DR. REBECCA LYNN HARVEY PT, DPT

Physical Therapist

168 FRANKLIN CORNER RD, UNIT 110
LAWRENCEVILLE, NJ 08648

Mercer County (609) 299-1279

BRIANNA PEARL BRUNNER LCSW

Social Worker (Clinical)

168 FRANKLIN CORNER RD, SUITE B210
LAWRENCEVILLE, NJ 08648

Mercer County (732) 804-4314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Lustbader's NPI number?

The NPI number for Bruce Lustbader is 1104913516. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Bruce Lustbader located?

Bruce Lustbader practices at 168 Franklin Corner Rd Bldg 2, Lawrenceville, NJ 08648. The listed phone number is (609) 896-2400.

What is Bruce Lustbader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Bruce Lustbader enrolled in Medicare?

No. Bruce Lustbader has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bruce Lustbader was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.