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EDWARD SEYMOUR LUSTBADER D.D.S.
NPI 1235204629
Dentist - General Practice in Flushing, NY

Active since November 21, 2006PECOS Enrolled
14156 76TH RD, FLUSHING, NY 11367(718) 261-4600 Get Directions Write a Review

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

About Edward Seymour Lustbader D.d.s. NPPES

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

EDWARD SEYMOUR LUSTBADER D.D.S. (NPI 1235204629) is an individual general practice provider in Flushing, New York, licensed in New York (034354) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235204629
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWARD SEYMOUR LUSTBADERCredential: D.D.S.
Location Address14156 76TH RDFlushing, NY 11367-2809
Mailing Address14156 76th RdFlushing, NY 11367-2809 · (718) 261-4600
Phone(718) 261-4600
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235204629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 034354
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14156 76TH RD, Flushing, NY 11367
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Other Identifiers 1

Other034354NY · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Seymour Lustbader D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11367 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Edward Lustbader's NPI number?

The NPI number for Edward Lustbader is 1235204629. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Edward Lustbader located?

Edward Lustbader practices at 14156 76th Rd, Flushing, NY 11367. The listed phone number is (718) 261-4600.

What is Edward Lustbader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edward Lustbader enrolled in Medicare?

Yes. Edward Lustbader is registered in the Medicare PECOS enrollment system.

What insurance does Edward Lustbader accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Edward Lustbader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward 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.