Philip Lutz, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Montclair, NJ
NPI 1275539645 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1275539645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- MA50393 (NJ)
- Practice address
- 1 Bay Ave
Montclair, NJ 07042-4837 - Phone
- (800) 720-1664
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Specialty Care PC
Practice addresses (Care Compare)
1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
3600 Route 66
FL 3
Neptune, NJ 07753
Hospital & facility affiliations
- Riverview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000274 | NJ | Practitioner - Anesthesiology |
0749252815 | Reassigns benefits to 5 organizations |
| I20200804002813 | FL | Practitioner - Anesthesiology | 0749252815 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME142797 | FL | MD | Pain Medicine (Anesthesiology) Physician |
| MA50393 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Canj Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Associates of Morristown PA | Current |
Accepting new patients | |
| South Florida Anesthesia & Pain Treatment, P.a. | Anesthesiology | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackettstown Anesthesia Associates | Anesthesiology | Current |
Accepting new patients |
| Advanced Ambulatory Anesthesiologists LLC | Current |
Accepting new patients | |
| Sparta Anesthesia Associates, LLC | Anesthesiology | Past |
Accepting new patients |
| Tri-County Pain Management & Rehabilitation, PA | Anesthesiology | Past |
Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230
3130 State Route 10
Ste 300
Denville, NJ 07834
Phone (973) 442-9980
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387
111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
175 High St
Newton, NJ 07860
Phone (973) 383-2121
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA50393 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME142797 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MA50393 | NJ | Yes |
Addresses
Primary practice location
1 Bay Ave
Montclair, NJ 07042-4837
Mailing address
PO Box 35088
Newark, NJ 07193-5088
Phone (800) 720-1664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4864808 | Medicaid | NJ |
NPI Registry JSON
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1275539645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35088",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071935088",
"telephone_number": "800-720-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAY AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424837",
"telephone_number": "800-720-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "PHILIP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA50393",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME142797",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "MA50393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4864808",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
- Maira Lozano
- Audrey Lubin
- Christina Lubrino
- Francine Baliguat Lucero
- Kathleen Lutz
- Danielle Mabutas
- Kemsey Mackey
- Madalyn Diabetes Nutrition LLC
- Madeline Till LCSW
- Madelyn Simring Milchman PHD LLC
All providers in Montclair, NJ · Pain Medicine (Anesthesiology) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.