ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI# 1699253344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253344 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S WARREN PHYSICIAN GROUP, PC |
| Practice Address |
755 Memorial Pkwy Ste 302a Phillipsburg NJ 08865 |
| Mailing Address |
185 Roseberry St 2nd Floor Farley Bldg Phillipsburg NJ 08865 |
| Practice Telephone | 4845267300 |
| Practice Fax Number | 8664495832 |
| Mailing Telephone | 9088472621 |
| Mailing Fax Number | 9088473045 |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | JAMIE L THOMAS (OWNER) |
| Authorized Official Telephone | 9088476702 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815968 | St. Luke's Warren Physician Group, PC | Pediatrics | 755 Memorial Pkwy Ste 207, Phillipsburg, NJ 08865-2773 | 2020-03-09 |
| 1578041174 | St. Luke's Warren Physician Group, PC | Obstetrics & Gynecology | 39 Roseberry St Ste 2, Phillipsburg, NJ 08865-1627 | 2018-08-06 |
| 1578051116 | St. Luke's Warren Physician Group, PC | Surgery | 755 Memorial Pkwy Ste 302, Phillipsburg, NJ 08865-2771 | 2018-04-30 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1083215594 | St. Luke's Warren Physician Group, PC | Internal Medicine | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2020-11-03 |
| 1962002923 | St. Luke's Warren Physician Group, PC | Internal Medicine | 755 Memorial Pkwy Ste 203, Phillipsburg, NJ 08865-2773 | 2020-10-29 |
| 1104443035 | St. Luke's Warren Physician Group, PC | Dermatology | 315 Route 31 South, Washington, NJ 07882 | 2020-06-26 |
| 1639720733 | St. Luke's Warren Physician Group, PC | Pediatrics | 123b Roseberry St, Phillipsburg, NJ 08865-1629 | 2019-09-20 |
| 1154986628 | St. Luke's Warren Physician Group, PC | Family Medicine | 185 Roseberry St, Pallative Care, Phillipsburg, NJ 08865 | 2019-05-09 |
| Street Address |
755 MEMORIAL PKWY STE 302A |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773352 | Ishita Singh | Internal Medicine | 755 Memorial Pkwy Ste 302a, Phillipsburg, NJ 08865-2771 | 2011-04-29 |
| 1104245232 | Ashish Vinaychandra Shah | Internal Medicine | 755 Memorial Pkwy Ste 302a, Phillipsburg, NJ 08865-2771 | 2014-04-16 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773352 | Ishita Singh | Internal Medicine | 755 Memorial Pkwy Ste 302a, Phillipsburg, NJ 08865-2771 | 2011-04-29 |
| 1861855959 | Northampton Clinical Care Associates of New Jersey PC | Internal Medicine | 700 Coventry Dr, Phillipsburg, NJ 08865-1972 | 2016-04-05 |
| 1104245232 | Ashish Vinaychandra Shah | Internal Medicine | 755 Memorial Pkwy Ste 302a, Phillipsburg, NJ 08865-2771 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373645 | Freehold Rheumatology and Endocrinology LLC | Internal Medicine | 535 Iron Bridge Rd Ste 11, Freehold, NJ 07728-5301 | 2019-12-17 |
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| 1952871667 | Garger Center for Endocrinology PC | Internal Medicine | 10 Sycamore Ave Ste 1, Ho Ho Kus, NJ 07423-1588 | 2018-11-26 |
| 1962902189 | Mercer Endocrine Care LLC | Internal Medicine | 2139 Route 33 Ste A, Hamilton, NJ 08690-1751 | 2018-02-14 |
| 1144740739 | Clarion Technology LLC | Internal Medicine | 5000 Atrium Way Ste 3, Mount Laurel, NJ 08054-3915 | 2017-06-23 |
| 1295115277 | Mabel Mayorga | Internal Medicine | 401 Haddon Ave Fl 2, Camden, NJ 08103 | 2015-06-04 |
| 1265832463 | Elkin A Nunez Md, LLC | Internal Medicine | 213 Winding Hill Dr, Hackettstown, NJ 07840-5665 | 2014-08-26 |
| 1962812040 | Reem Taha | Internal Medicine | 2 Lincoln Hwy Ste 502, Edison, NJ 08820-3961 | 2014-04-29 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1811335433 | Taher Modarressi | Internal Medicine | 9100 Wescott Dr Ste 101, Flemington, NJ 08822 | 2013-06-05 |
| 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.