WARREN MEDICAL SERVICES, INC. (NPI# 1942322813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942322813 |
| Entity Type | Organization |
| Organization Name | WARREN MEDICAL SERVICES, INC. |
| Other Organization Name | STATELINE MEDICAL |
| Practice Address |
590 Marshall St Phillipsburg NJ 08865-2629 |
| Practice Telephone | 9083870003 |
| Practice Fax Number | 9083870005 |
| Mailing Telephone | 9083870003 |
| Mailing Fax Number | 9083870005 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY DAVID GAVORNIK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9083870003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
22481 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stateline Medical | Doing Business As Name - Organization |
| Street Address |
590 MARSHALL ST |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720579121 | Dana Kabisch | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-22 |
| 1518457464 | Anthony Middle Morelli Jr. | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-16 |
| 1790274215 | Carole Sutton | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-10 |
| 1346739869 | Brooke Hocking | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-10 |
| 1205326758 | Latisha S. Frederick | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-10 |
| 1790274264 | Janice Wright | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-09 |
| 1437648979 | Amanda J Muschett | Counselor | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2018-05-09 |
| 1316468945 | Pinnacle Treatment Centers Nj II LLC | Clinic/Center | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2017-07-05 |
| 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 | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346419769 | Pinnacle Treatment Centers Nj II LLC | Clinic/Center | 590 Marshall Street, Phillipsburg, NJ 08865 | 2008-02-29 |
| 1316468945 | Pinnacle Treatment Centers Nj II LLC | Clinic/Center | 590 Marshall St, Phillipsburg, NJ 08865-2629 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043847304 | Monmouth Healthcare Services, LLC | Clinic/Center | 495 Jack Martin Blvd Ste 6, Brick, NJ 08724-7778 | 2020-03-26 |
| 1295370849 | Resource Center for The Chemically Dependent, Inc. | Clinic/Center | 124 Hampton House Rd, Newton, NJ 07860-2804 | 2019-11-07 |
| 1427602960 | Bravo Medical, LLC | Clinic/Center | 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345 | 2019-08-01 |
| 1295294668 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 | 2019-03-15 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1386101483 | Trenton Healthcare, LLC | Clinic/Center | 670 Route 1 N, Iselin, NJ 08830-2629 | 2019-02-25 |
| 1609386135 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2017-10-11 |
| 1972855575 | Spectrum Health Care, Inc. | Clinic/Center | 74 Pacific Ave, Jersey City, NJ 07304-3216 | 2012-10-05 |
| 1962712398 | Middletown Medical, LLC | Clinic/Center | 600 Hwy 35, Red Bank, NJ 07701-5018 | 2010-10-19 |
| 1578725867 | Addiction Recovery Systems Somers Point LLC | Clinic/Center | 408 Bethel Rd Bldg B, Somers Point, NJ 08244-2172 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
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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.