Active NPI
Hugo N Lijtmaer, MD
- Neurology Physician
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA30551
- Practice address
- 1200 East Ridgewood Ave
East Wing 2ND Floor
Ridgewood, NJ 07450 - Phone
- (201) 444-0868
- Fax
- (201) 493-0797
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA30551 | NJ | Primary |
Addresses
Primary practice location
1200 East Ridgewood Ave
East Wing 2ND Floor
Ridgewood, NJ 07450
Mailing address
1200 East Ridgewood Ave
East Wing 2ND Floor
Ridgewood, NJ 07450
Phone (201) 444-0868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0694703 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone (201) 444-0868
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA30551 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Group of Bergen County PA | Neurology | Current | Accepting new patients |
| Valley Institute for Pain, LLC | Past | Accepting new patients |
Locations
1200 E Ridgewood Ave
Ste 208
Ridgewood, NJ 07450
Phone (201) 444-0631
1200 E Ridgewood Ave
Fl 2
Ridgewood, NJ 07450
Phone (201) 444-0868
Interoperability endpoints
- https://api.platform.athenahealth.com/25202/brand/1/csg/1/fhir/r4
- hugo.lijtmaer.1@25202.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Neurology Physician
- Ridgewood, NJ
- NPI 1881731107
-
- Pain Medicine (Anesthesiology) Physician
- Paramus, NJ
- NPI 1023119849
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1669433819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EAST RIDGEWOOD AVE",
"address_2": "EAST WING 2ND FLOOR",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-444-0868",
"fax_number": "201-493-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EAST RIDGEWOOD AVE",
"address_2": "EAST WING 2ND FLOOR",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-444-0868",
"fax_number": "201-493-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIJTMAER",
"first_name": "HUGO",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA30551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0694703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.