Lissette Lugo, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07961400 Issued in NJ

Practice address

1 Clara Maass Dr
Belleville, NJ 07109-3550

Phone

(212) 302-4399

Fax

(212) 302-2582

NPI assigned

Jan 16, 2006

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olena Medical New Jersey LLCGroup PAC ID 6406123512, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olena Medical New Jersey LLC

  • Anesthesiology Physician
  • Fairview, NJ
  • NPI 1386180461
  Medicare reassignment Care Compare group NPD
• Metropolitan Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1578989612
  Medicare reassignment NPD
• Morris Anesthesia Group, PA

  • Anesthesiology Physician
  • Parsippany, NJ
  • NPI 1194728501
  Medicare reassignment NPD
• New York Gi Center LLC

  • Endoscopy Clinic/Center
  • Bronx, NY
  • NPI 1336258128
  Medicare reassignment NPD
• Omnj Division Three LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1780498196

  NJ

  Medicare reassignment NPD
• Omnj Division Two LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1437963840

  NJ

  Medicare reassignment
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Brick, NJ
  • NPI 1548433048
  NPD
• Coastal Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Neptune, NJ
  • NPI 1316219470
  NPD (past)
• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1194704320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 BROADWAY",
            "address_2": "SUITE 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187001",
            "telephone_number": "212-302-4399",
            "fax_number": "212-302-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "212-302-4399",
            "fax_number": "212-302-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "LISSETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "224552-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07961400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "221948732001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694668",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088064",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Lomazow, M.D.
• Joyce T. Lopez, PT
• Nicole MM Lopez, MD
• LSC Pharmacy Services, Inc. (Barnabas Health Retail Pharmacy)
• Braxton Lucero
• Angiel Jouseth Luque Saiboo, RN
• Pablo Antonio Luzardo Baldomi
• William Lynch, RPH
• Jacqueline Maddi, BBCBA
• Jeanne Rose O Magante, PT

• Anesthesiology Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.