NPIMap

Organization Active NPI

St. Luke's Warren Physician Group, PC

  • Pediatric Nephrology Physician
  • Phillipsburg, NJ
National Provider Identifier
1740815968
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
Legal business name
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Practice address
755 Memorial Pkwy Ste 207
Phillipsburg, NJ 08865-2773
Phone
(610) 252-6950
Fax
(610) 252-8431
NPI assigned
Mar 9, 2020
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0210X Primary

Addresses

Primary practice location

755 Memorial Pkwy Ste 207
Phillipsburg, NJ 08865-2773

Mailing address

755 Memorial Pkwy Ste 207
Phillipsburg, NJ 08865-2773
Phone (610) 252-6950

National Provider Directory

National Provider Directory
Tax ID family
Warren Health Care Alli18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

755 Memorial Pkwy
Ste 207
Phillipsburg, NJ 08865
Phone (610) 252-6950

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1740815968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 207",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652773",
            "telephone_number": "610-252-6950",
            "fax_number": "610-252-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 207",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652773",
            "telephone_number": "610-252-6950",
            "fax_number": "610-252-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S WARREN PHYSICIAN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "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 Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.