ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI# 1740815968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740815968 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S WARREN PHYSICIAN GROUP, PC |
| Practice Address |
755 Memorial Pkwy Ste 207 Phillipsburg NJ 08865-2773 |
| Practice Telephone | 6102526950 |
| Practice Fax Number | 6102528431 |
| Mailing Telephone | 6102526950 |
| Mailing Fax Number | 6102528431 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | SUE CHIAVAROLI (SUPERVISOR) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041174 | St. Luke's Warren Physician Group, PC | Obstetrics & Gynecology | 39 Roseberry St Ste 2, Phillipsburg, NJ 08865-1627 | 2018-08-06 |
| 1578051116 | St. Luke's Warren Physician Group, PC | Surgery | 755 Memorial Pkwy Ste 302, Phillipsburg, NJ 08865-2771 | 2018-04-30 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1083215594 | St. Luke's Warren Physician Group, PC | Internal Medicine | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2020-11-03 |
| 1962002923 | St. Luke's Warren Physician Group, PC | Internal Medicine | 755 Memorial Pkwy Ste 203, Phillipsburg, NJ 08865-2773 | 2020-10-29 |
| 1104443035 | St. Luke's Warren Physician Group, PC | Dermatology | 315 Route 31 South, Washington, NJ 07882 | 2020-06-26 |
| 1639720733 | St. Luke's Warren Physician Group, PC | Pediatrics | 123b Roseberry St, Phillipsburg, NJ 08865-1629 | 2019-09-20 |
| 1154986628 | St. Luke's Warren Physician Group, PC | Family Medicine | 185 Roseberry St, Pallative Care, Phillipsburg, NJ 08865 | 2019-05-09 |
| 1144785833 | St. Luke's Warren Physician Group, PC | Emergency Medicine | 185 Roseberry St, Emergency Dept, Phillipsburg, NJ 08865 | 2019-02-06 |
| Street Address |
755 MEMORIAL PKWY STE 207 |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
| 1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
| 1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
| 1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
| 1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
| 1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
| 1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
| Find all providers in zip 08865 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639492 | Maria Josefina Sharma | Pediatrics | 63 Central Avenue, Passaic, NJ 07055 | 2010-05-10 |
| 1740825215 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1225469489 | Valeriya M Feygina | Pediatrics | 89 French St Fl 2, New Brunswick, NJ 08901 | 2013-12-12 |
| 1043594120 | Mahmoud Loghman-adham | Pediatrics | 340 Kingsland St, Nutley, NJ 07110-1150 | 2011-10-06 |
| 1932365400 | Joann Carlson | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-08-04 |
| 1306968078 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-04-04 |
| 1154462687 | Abraham Aviv | Pediatrics | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2007-02-09 |
| 1508935248 | Constancia Somera Uy | Pediatrics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2006-11-07 |
| 1215022231 | Children's Healthcare Associates of New Jersey PC | Pediatrics | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| 1457469348 | Rutgers Health-rwj Pediatric Nephrology | Pediatrics | 89 French Street, Suite 2300, New Brunswick, NJ 08901 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
Please comment or provide details below to improve the information on ST. LUKE'S WARREN PHYSICIAN GROUP, PC.
| 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.