NPIMap

Organization Active NPI

St. Luke's Warren Physician Group, PC

  • Psychiatry Physician
  • Phillipsburg, NJ
National Provider Identifier
1467726117
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Practice address
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone
(908) 859-6700
NPI assigned
Feb 28, 2012
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Chiavaroli
Title
Supervisor Enrollments
Phone
(484) 526-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

185 Roseberry St
Phillipsburg, NJ 08865-1690

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-3569

Other practice location 1

315 State Route 31 S
Washington, NJ 07882-4069
Phone (908) 847-3100

Other practice location 2

207 Strykers Rd
Phillipsburg, NJ 08865-5401
Phone (908) 847-6568

Other practice location 3

755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748
Phone (908) 454-6303

Other practice location 4

37 Rupell Rd
Hampton, NJ 08827-4017
Phone (908) 735-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031117000020 NJ Part B Supplier - Clinic/Group Practice 9739093675 Receives reassigned benefits from 664 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belvidere, NJ; Washington, NJ; Phillipsburg, NJ; Hampton, NJ; Clinton, NJ
O20040323000967 NJ Part B Supplier - Clinic/Group Practice 9739093675 Receives reassigned benefits from 216 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phillipsburg, NJ; Washington, NJ; Hampton, NJ
O20040510000536 NJ Part B Supplier - Clinic/Group Practice 9739093675 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belvidere, NJ; Washington, NJ

Other NPIs on the same Medicare enrollment 57

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 57

National Provider Directory

National Provider Directory

Locations

755 Memorial Pkwy
Ste 302A
Phillipsburg, NJ 08865
Phone (484) 503-0055

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1467726117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-3569",
            "fax_number": "908-835-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651690",
            "telephone_number": "908-859-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 State Route 31 S",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NJ",
            "postal_code": "078824069",
            "country_code": "US",
            "telephone_number": "908-847-3100",
            "fax_number": "866-276-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Strykers Rd",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088655401",
            "country_code": "US",
            "telephone_number": "908-847-6568",
            "fax_number": "866-278-3009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Memorial Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652748",
            "country_code": "US",
            "telephone_number": "908-454-6303",
            "fax_number": "866-281-6023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Rupell Rd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "NJ",
            "postal_code": "088274017",
            "country_code": "US",
            "telephone_number": "908-735-7060",
            "fax_number": "866-289-8938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S WARREN PHYSICIAN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SUPERVISOR ENROLLMENTS",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.