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

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

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Anesthesiology
Also: Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PC (1,901 clinicians)

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 Hospital · Red Bank, NJ · CCN 310034

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 IDStateProvider typePAC IDDetails
I20060127000274 NJ Practitioner - Anesthesiology
Practitioner - Pain Management
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

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

Practice roles

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4864808MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2021.

{
    "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

All providers in Montclair, NJ · Pain Medicine (Anesthesiology) Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.