Individual provider Active NPI

Kristen Mary Luzzi, P.A.-C.

  • Medical Physician Assistant
  • Linden, NJ
National Provider Identifier
1235487737
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00290500 Issued in NJ
Practice address
515 N Wood Ave
Linden, NJ 07036-4173
Phone
(908) 925-8877
Fax
(908) 925-4164
NPI assigned
Aug 15, 2012
Last updated
Oct 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00290500 NJ Primary

Addresses

Primary practice location

515 N Wood Ave
Linden, NJ 07036-4173

Mailing address

515 N Wood Ave
Linden, NJ 07036-4173
Phone (908) 925-8877

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120906000224 NJ Practitioner - Physician Assistant 1052568516 Reassigns benefits to 3 organizations
I20150409002457 NY Practitioner - Physician Assistant 1052568516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

122 Mount Bethel Rd
Suite 1
Warren, NJ 07059-5297
Phone (973) 571-2121

2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00290500NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Dermatology Center,P.C. Past Accepting new patients
RF Ledon M.D. P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristen.luzzi@schweigerderm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1235487737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364173",
            "telephone_number": "908-925-8877",
            "fax_number": "908-925-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364173",
            "telephone_number": "908-925-8877",
            "fax_number": "908-925-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZZI",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00290500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.