LISSETTE LUGO (M.D.) – Anesthesiology Physician, NPI 1194704320

LISSETTE LUGO (M.D.) is a healthcare provider. based in Belleville, New Jersey. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 224552-1 (NY). The NPI Number for LISSETTE LUGO (M.D.) is 1194704320

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISSETTE LUGO (M.D.)
NPI
1194704320
Phone
(212) 302-4399
Address
1 CLARA MAASS DR
Enumeration Date
16 January 2006
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182556391
Graduation Year
2000 (26 years ago)
PAC ID
2961486378
Group Practice PAC ID
6406123512
Professional Enrollment ID
I20051230000034
Address ID
NJ070942306SE210XXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

Provider Addresses for LISSETTE LUGO (M.D.)

  • 1 CLARA MAASS DR

    BELLEVILLE, NJ 071093550

    Phone: (212) 302-4399

    Fax: (212) 302-2582

    Type: Location

  • 1375, Broadway, Garment District, Manhattan Community Board 5, Manhattan, New York County, New York, 10018, United States

    SUITE 506

    NEW YORK, NY 100187001

    Phone: (212) 302-4399

    Fax: (212) 302-2582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051230000034IAnesthesiologyNJTBD
I20071119000415IAnesthesiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00630Anesthesia for other procedure on lower spine3938$0
View full utilization report →

Insurance plans in this area (ZIP 07109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406123512View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YNJ

Reviews

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Frequently asked questions

Is there an official ID for LISSETTE LUGO (M.D.) in U.S. healthcare records?
The official identifier for LISSETTE LUGO (M.D.) is NPI 1194704320.
Is LISSETTE LUGO (M.D.) shown as active in public data?
Registry records indicate LISSETTE LUGO (M.D.) maintains an active NPI.
How would a patient describe LISSETTE LUGO (M.D.)'s focus?
For LISSETTE LUGO (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISSETTE LUGO (M.D.)?
Directory geography for LISSETTE LUGO (M.D.) centers on Belleville, New Jersey.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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