ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI# 1780162396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780162396 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S WARREN PHYSICIAN GROUP, PC |
| Practice Address |
187 County Road 519 Ste 2 Belvidere NJ 07823 |
| Mailing Address |
185 Roseberry St 2nd Floor Farley Bldg Phillipsburg NJ 08865 |
| Practice Telephone | 9088473991 |
| Practice Fax Number | 8335415800 |
| Mailing Telephone | 9088472621 |
| Mailing Fax Number | 9088473045 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | JAMIE THOMAS (OWNER) |
| Authorized Official Telephone | 9088476702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815968 | St. Luke's Warren Physician Group, PC | Pediatrics | 755 Memorial Pkwy Ste 207, Phillipsburg, NJ 08865-2773 | 2020-03-09 |
| 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 |
| Street Address |
187 COUNTY ROAD 519 STE 2 |
| City | BELVIDERE |
| State | NJ |
| Zip Code | 07823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083829196 | Maria Eustice | Nurse Practitioner | 187 County Road 519 Ste 2, Belvidere, NJ 07823 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528233400 | Anthony Marino Rossi | Dentist | 119 Greenwich St, Belvidere, NJ 07823 | 2008-04-23 |
| 1730209834 | Hanne Unger | Psychologist | 309 Second St, Belvidere, NJ 07823 | 2007-03-30 |
| 1720196157 | Dennis John Melillo | Chiropractor | 540 Route 519, Suite 3, Belvidere, NJ 07823 | 2006-08-27 |
| 1003820465 | John V Bernard | Family Medicine | 526 Water Street, Belvidere, NJ 07823 | 2006-07-28 |
| 1427507235 | Selah Adult Care Corporation | Respite Care | 133 Fourth Street, Belvidere, NJ 07823 | 2016-09-22 |
| 1972673572 | Eric Rodriguez | Chiropractor | 337 Water St, Belvidere, NJ 07823-1218 | 2006-11-09 |
| 1255863007 | Alternatives Inc. | Community/Behavioral Health | 400 Prospect St, Apt. 19a, Belvidere, NJ 07823-1240 | 2017-03-31 |
| 1043837081 | Deborah Dominicci | Counselor | 526 Water St, Belvidere, NJ 07823-1310 | 2020-06-25 |
| 1588281083 | Kelli Kennedy | Counselor | 526 Water St, Belvidere, NJ 07823-1310 | 2020-06-30 |
| 1801412820 | Ruth Eldred | Counselor | 526 Water St, Belvidere, NJ 07823-1310 | 2020-06-25 |
| Find all providers in zip 07823 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033380514 | Preston Scott Medical Group | Family Medicine | 1906 Pierce Ct, Belvidere, IL 61008-1742 | 2008-03-12 |
| 1144424847 | L Robert Warren Md LLC | Family Medicine | 205 Cadillac Ct Ste 6, Belvidere, IL 61008-1733 | 2007-06-14 |
| 1912080912 | William Sandoval | Family Medicine | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2006-10-23 |
| 1083700868 | John Patrick Fritz | Family Medicine | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2006-10-05 |
| 1003820465 | John V Bernard | Family Medicine | 526 Water Street, Belvidere, NJ 07823 | 2006-07-28 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1699708636 | Therese Marie Lucietto-sieradzki | Family Medicine | 205 Cadillac Ct Ste 7, Belvidere, IL 61008-1733 | 2006-07-09 |
| 1235182288 | Saint Anthony Medical Center | Family Medicine | 143 Kishwaukee St, Belvidere, IL 61008-3507 | 2006-05-19 |
| 1437139896 | Shin Chen | Family Medicine | 1003 Logan Ave, Belvidere, IL 61008-3955 | 2006-01-20 |
| 1558341933 | L Robert Warren | Family Medicine | 205 Cadillac Ct, Belvidere, IL 61008-1733 | 2006-01-20 |
| Find all providers in BELVIDERE | ||||
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| 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.