| Lissette Lugo, MD | |
|
1 Clara Maass Dr, Belleville, NJ 07109-3550 | |
| (212) 302-4399 | |
| (212) 302-2582 |
| Full Name | Lissette Lugo |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 1 Clara Maass Dr, Belleville, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194704320 | NPI | - | NPPES |
| 221948732001 | Other | NJ | TRICARE |
| 0088064 | Medicaid | NJ | |
| 02694668 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 224552-1 (New York) | Secondary |
| 207L00000X | Anesthesiology | 25MA07961400 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olena Medical New Jersey Llc | 6406123512 | 4 |
| Entity Name | Morris Anesthesia Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194728501 PECOS PAC ID: 4284628645 Enrollment ID: O20040409000402 |
| Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
| Entity Name | Metropolitan Anesthesiology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578989612 PECOS PAC ID: 7719105113 Enrollment ID: O20140827000452 |
| Entity Name | Olena Medical New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386180461 PECOS PAC ID: 6406123512 Enrollment ID: O20170522000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Lissette Lugo, MD 1375 Broadway, Suite 506, New York, NY 10018-7001 Ph: (212) 302-4399 | Lissette Lugo, MD 1 Clara Maass Dr, Belleville, NJ 07109-3550 Ph: (212) 302-4399 |
Jose Alberto De Trespalacios, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 908-653-9399 Fax: 908-653-9305 | |
Maged Moussa Gerges, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Drive, Belleville, NJ 07109 Phone: 908-653-9399 Fax: 908-853-9305 | |
Jagdip Desai, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Dr, Anesthesia Department, Belleville, NJ 07109 Phone: 908-705-6857 | |
Sharon Sun, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 973-450-2000 | |
Muhammad Bakhtiar Husain Khan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Clara Maass Dr, Belleville, NJ 07109 Phone: 908-653-9399 Fax: 908-653-9305 | |
Jolanta Rejowska Cedrowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Clara Maass Drive, Belleville, NJ 07109 Phone: 908-653-9399 Fax: 908-653-9305 |