Individual provider Active NPI

Philip Lutz, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Montclair, NJ
National Provider Identifier
1275539645
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MA50393 Issued in NJ
Practice address
1 Bay Ave
Montclair, NJ 07042-4837
Phone
(800) 720-1664
NPI assigned
Jun 22, 2005
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA50393 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X ME142797 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X MA50393 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Montclair, NJ 07042-4837

Mailing address

PO Box 35088
Newark, NJ 07193-5088
Phone (800) 720-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20060127000274 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 0749252815 Reassigns benefits to 5 organizations
I20200804002813 FL Practitioner - Anesthesiology 0749252815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME142797FLMDPain Medicine (Anesthesiology) Physician
MA50393NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackettstown Anesthesia Associates Anesthesiology CurrentSince Jan 1, 2011 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 20, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 20, 2025 Accepting new patients
Advanced Ambulatory Anesthesiologists LLC CurrentSince Jun 11, 2012 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. Anesthesiology CurrentSince May 18, 2020 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Anesthesia Associates of Morristown PA CurrentSince Jun 17, 2019 Accepting new patients
Tri-County Pain Management & Rehabilitation, PA Anesthesiology PastSince Jun 10, 1997 Accepting new patients
Sparta Anesthesia Associates, LLC Anesthesiology PastSince Mar 1, 2008 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.