PHILIP LUTZ (NPI# 1275539645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275539645 |
| Entity Type | Individual |
| Full Name | PHILIP LUTZ |
| Credential | M.D. |
| Practice Address |
1 Bay Ave Montclair NJ 07042-4837 |
| Mailing Address |
Po Box 35088 Newark NJ 07193-5088 |
| Practice Telephone | 8007201664 |
| Mailing Telephone | 8007201664 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MA50393 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MA50393 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4864808 | 05 |
| Street Address |
1 BAY AVE |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039782 | Heary Neurosurgical Institute PC | Neurological Surgery | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-06-29 |
| 1912527094 | Fahmena Islam | Registered Nurse | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-20 |
| 1770103004 | Dhara Patel | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-16 |
| 1639798028 | Meng-shan Lin | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-15 |
| 1487273660 | Carlos Enrique Huauya Leuyacc | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-08 |
| 1275162620 | Arham Syed Hazari | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-07 |
| 1841829389 | Sydnee Siewshyuan Lim | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1144859620 | Tochukwu Mbolu | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1932737079 | Keerthana Kuppamma Kumar | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-01 |
| 1831727155 | Armida Priftani | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333438 | Caring Pain Management PC | Anesthesiology | 127 Pine St Ste 4, Montclair, NJ 07042-4868 | 2017-05-15 |
| 1457417180 | Chong H Park | Anesthesiology | 775 Bloomfield Ave, Montclair, NJ 07042-1880 | 2006-12-28 |
| 1841245628 | Montclair Anesthesia Associates, P.C. | Anesthesiology | 1 Bay Ave, Anesthesia Department, Montclair, NJ 07042-4837 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHILIP LUTZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.