Active NPI
Village Family Medical
- Internal Medicine Physician
- Hackettstown, NJ
National Provider Identifier
1063884088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05039300
- Legal business name
- VILLAGE FAMILY MEDICAL
- Practice address
- 1500 Route 517
Suite 108
Hackettstown, NJ 07840-2717 - Phone
- (908) 813-8200
- Fax
- (908) 813-8224
- NPI assigned
- Oct 29, 2015
- Last updated
- Oct 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip E Lutz, M.D.
- Title
- Pre
- Phone
- (908) 813-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05039300 | NJ | Primary |
Addresses
Primary practice location
1500 Route 517
Suite 108
Hackettstown, NJ 07840-2717
Mailing address
1500 Route 517
Suite 108
Hackettstown, NJ 07840-2717
Phone (908) 813-8200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446076800000",
"number": "1063884088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROUTE 517",
"address_2": "SUITE 108",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402717",
"telephone_number": "908-813-8200",
"fax_number": "908-813-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROUTE 517",
"address_2": "SUITE 108",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402717",
"telephone_number": "908-813-8200",
"fax_number": "908-813-8224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE FAMILY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2015-10-29",
"status": "A",
"authorized_official_last_name": "LUTZ",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRE",
"authorized_official_telephone_number": "908-813-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05039300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.