NPIMap

Organization Active NPI

St. Luke's Warren Physician Group, PC

  • Orthopaedic Surgery Physician
  • Phillipsburg, NJ
National Provider Identifier
1801162631
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Practice address
755 Memorial Pkwy
BLDG 200, Suite 201
Phillipsburg, NJ 08865-2748
Phone
(908) 859-8884
Fax
(908) 859-6841
NPI assigned
Mar 27, 2012
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Jamie Thomas
Title
Owner
Phone
(908) 847-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

755 Memorial Pkwy
BLDG 200, Suite 201
Phillipsburg, NJ 08865-2748

Mailing address

755 Memorial Pkwy BLDG Suite201
Phillipsburg, NJ 08865-2748
Phone (908) 847-8884

Other practice location 1

22 Walmart Plz
Clinton, NJ 08809-1263
Phone (908) 847-8884

Other practice location 2

187 County Roard 519 ste 3
Belvidere, NJ 07823
Phone (908) 847-8884

Other identifiers 1

IdentifierTypeStateIssuer
7123604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 40

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

View all 40

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1801162631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY BLDG SUITE201",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-847-8884",
            "fax_number": "833-204-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY",
            "address_2": "BLDG 200, SUITE 201",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-859-8884",
            "fax_number": "908-859-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Walmart Plz",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NJ",
            "postal_code": "088091263",
            "country_code": "US",
            "telephone_number": "908-847-8884",
            "fax_number": "833-204-9604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 County Roard 519 ste 3",
            "address_purpose": "LOCATION",
            "city": "Belvidere",
            "state": "NJ",
            "postal_code": "07823",
            "country_code": "US",
            "telephone_number": "908-847-8884",
            "fax_number": "833-204-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S WARREN PHYSICIAN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-847-2621"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123604",
            "state": "NJ"
        }
    ],
    "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 Sep 7, 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.