NPIMap

Organization Active NPI

Hackettstown Anesthesia Associates

  • Anesthesiology Physician
  • Denville, NJ
National Provider Identifier
1053396580
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HACKETTSTOWN ANESTHESIA ASSOCIATES
Practice address
3130 State Route 10 Ste 200
Denville, NJ 07834-3454
Phone
(973) 328-3475
NPI assigned
Dec 7, 2005
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Philip LutzNPI 1275539645
Title
President
Phone
(973) 934-5869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3130 State Route 10 Ste 200
Denville, NJ 07834-3454

Mailing address

PO Box 4744
Lancaster, PA 17604-4744
Phone (732) 582-2660

Other practice location 1

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 852-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000404 NJ Part B Supplier - Clinic/Group Practice 4486678604 Receives reassigned benefits from 6 practitioners
Practice locations: Denville, NJ

National Provider Directory

National Provider Directory

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

160 E Hanover Ave
Fl 2
Cedar Knolls, NJ 07927

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1053396580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4744",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044744",
            "telephone_number": "732-582-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 STATE ROUTE 10 STE 200",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343454",
            "telephone_number": "973-328-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Willow Grove St",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401799",
            "country_code": "US",
            "telephone_number": "908-852-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HACKETTSTOWN ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-934-5869"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.