Organization Active NPI

Anna Lutz Medical PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1386340644
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ANNA LUTZ MEDICAL PC
Practice address
970 41St St Ste M1
Brooklyn, NY 11219-1105
Phone
(918) 935-3015
Fax
(718) 438-2295
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Anna Lutz, MDNPI 1124117999
Title
President
Phone
(917) 935-3015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

970 41St St Ste M1
Brooklyn, NY 11219-1105

Mailing address

2124 E 26TH St
Brooklyn, NY 11229-4933
Phone (917) 935-3015

National Provider Directory

National Provider Directory

Locations

970 41st St
Ste M1
Brooklyn, NY 11219
Phone (718) 438-1322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1386340644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294933",
            "telephone_number": "917-935-3015",
            "fax_number": "718-438-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 41ST ST STE M1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191105",
            "telephone_number": "918-935-3015",
            "fax_number": "718-438-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA LUTZ MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-935-3015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.