Warren Skin Care Center PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MA66021 Issued in NJ

Legal business name

WARREN SKIN CARE CENTER PA

Practice address

755 Memorial Pkwy
BLDG 204
Phillipsburg, NJ 08865-2748

Phone

(908) 387-1001

Fax

(908) 387-1195

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Lian Jie Li, MDNPI 1649259383

Title

Ceo

Phone

(908) 387-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lian Jie Li, MD

  • MOHS-Micrographic Surgery Physician
  • Phillipsburg, NJ
  • NPI 1649259383

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Chuying Luo, MD

  • Internal Medicine Physician
  • Phillipsburg, NJ
  • NPI 1669451274

  PA

  Medicare reassignment Care Compare group NPD
• Yongming Li, MD, PHD, AC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bridgewater, NJ
  • NPI 1124141478
  Medicare reassignment NPD
• Qiang Xie, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1427285386

  NJ

  Medicare reassignment NPD
• Paul Gerard Marcincin, M.D.

  • Specialist
  • Bethlehem, PA
  • NPI 1386639698
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1669587267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5118",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-387-1001",
            "fax_number": "908-387-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY",
            "address_2": "BLDG 204",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-387-1001",
            "fax_number": "908-387-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN SKIN CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "LIAN JIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-387-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "MA66021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Health Care Alliance, PC
• Warren Hospital
• Warren Medical Services, Inc.
• Warren OB-GYN Associates
• Warren Radiology Associates PA
• Laura A Warren, LCSW
• Kiyosha Watts, DO
• Meghan Weisel
• Wellfit Chiropractic
• Elizabeth Mary Westbrook, CRNP

• Health Service Clinic/Center in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.