Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gordon D Lutchman

Individual provider Surgery Physician · NPI 1548270861

Gordon D Lutchman is a Vascular Surgery in Philadelphia, Pennsylvania. Qualified in 1976, 50 years ago. Practices with Newark Vein and Vascular Center LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
50
Licensed in
NJ, NY, PA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

8352 Bustleton Ave
Philadelphia, PA 19152-1909
Phone: (215) 809-1445
Fax: (224) 235-4652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 766 Shrewsbury Ave Ste 300, Tinton Falls, NJ 07724-3001 — (732) 345-8346

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD456515 (PA)
Surgery Physician Taxonomy 208600000X · Licence 25MA04510100 (NJ)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 164843-1 (NY)

Record details

NPI number1548270861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESNovember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Newark Vein And Vascular Center Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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