NPIMap

Organization Active NPI

Montclair Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Montclair, NJ
National Provider Identifier
1841245628
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MONTCLAIR ANESTHESIA ASSOCIATES, P.C.
Practice address
1 Bay Ave
Anesthesia Department
Montclair, NJ 07042-4837
Phone
(973) 429-6930
Fax
(973) 364-1757
NPI assigned
May 23, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Philip Lutz, M.D.NPI 1275539645
Title
Treasurer VP
Phone
(973) 429-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X

Addresses

Primary practice location

1 Bay Ave
Anesthesia Department
Montclair, NJ 07042-4837

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
6723004MedicaidNJ

National Provider Directory

National Provider Directory

Locations

653 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 850-3100

17 Academy St
Ste 705
Newark, NJ 07102
Phone (973) 624-7770

3129 Route 46
Ste 209
Parsippany, NJ 07054
Phone (201) 447-1700

785 Totowa Rd
Totowa, NJ 07512
Phone (201) 904-0890

24 Wyckoff Ave
Waldwick, NJ 07463
Phone (201) 447-1700

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1841245628",
    "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",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6930",
            "fax_number": "973-364-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ANESTHESIA ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "TREASURER VP",
        "authorized_official_telephone_number": "973-429-6250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6723004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.