Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295738417 Deactivated / Inactive NPI Male Practitioner

Dr. William J Kustrup , MD

Ophthalmology • Lawrenceville, NJ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Kustrup has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2005
NPI Deactivation Date March 10, 2008
Total Practice Duration ~3 Years of Practice (2005 – 2008)

Professional Overview & Biography Verified Profile Summary

Dr. William Kustrup, MD was a registered Ophthalmology practicing in Lawrenceville, NJ. Throughout an active medical career spanning 3 years, Dr. Kustrup provided care at the practice location at 123 FRANKLIN CORNER RD until profile deactivation on 2008-03-10.

Practice Location & Contact Primary Location

Practice Address

123 Franklin Corner Rd
Ste 207

Lawrenceville, NJ 086482526

Telephone 6098969448
Fax 6098967052
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lawrenceville, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.2 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Lawrenceville, NJ (700 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA018330

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8626006 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1225031453

Doctor of Medicine (M.D.)

NPI 1275686412

Doctor of Medicine (M.D.)

NPI 1306849526

Doctor of Medicine (M.D.)

NPI 1356428841

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Reactivated October 31, 2013

Record officially reactivated for active practice on October 31, 2013

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Updated Practice Location October 31, 2013

Registered at 123 FRANKLIN CORNER RD, STE 207, LAWRENCEVILLE, NJ 086482526 (Tel: 6098969448)

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Updated Business Mailing Address October 31, 2013

Registered at 123 FRANKLIN CORNER RD, STE 207, LAWRENCEVILLE, NJ 086482526 (Tel: 6098969448)

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Provider Name / Credentials Updated October 31, 2013

Recorded as WILLIAM KUSTRUP, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Ophthalmology (License #25MA018330 in NJ)

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NPI Profile Deactivated March 10, 2008

Record deactivated on March 10, 2008

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Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295738417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: October 31, 2013
Deactivation Date: March 10, 2008
Sole Proprietor: No

Mailing Address

123 Franklin Corner Rd, Ste 207

Lawrenceville, NJ 086482526

Phone: 6098969448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.