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ST. LUKE'S WARREN PHYSICIAN GROUP, PC
NPI 1023746211
Physician Assistant - Surgical in Phillipsburg, NJ

Active since August 15, 2022CLIA 31D0005867 · Accreditation
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865(908) 847-2621(908) 847-3045 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Luke's Warren Physician Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI 1023746211), doing business as St. Luke's Warren Surgical Advance Practice Service, is a healthcare organization registered as a surgical in Phillipsburg, New Jersey and active in the NPI registry since August 2022. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Sue Chiavaroli, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1023746211
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameST. LUKE'S WARREN PHYSICIAN GROUP, PC
Location Address185 ROSEBERRY STPhillipsburg, NJ 08865-1690
Mailing Address185 Roseberry St, Farley Bldg., 2nd FloorPhillipsburg, NJ 08865 · (908) 847-2621 · Fax (908) 847-3045
Phone(908) 847-2621
Fax(908) 847-3045
Organization SubpartNo
Authorized OfficialSue ChiavaroliEnrollment Manager · (484) 526-3569
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1023746211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
185 ROSEBERRY ST, Phillipsburg, NJ 08865
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Other Names 1

Doing Business AsSt. Luke's Warren Surgical Advance Practice Service

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D0005867

St Luke's Warren Hospital · Phillipsburg, NJ
Active · expires Feb 27, 2027
CLIA Number31D0005867
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Deline M. Da Costa
Laboratory Phone(908) 859-6750
Laboratory LocationSt Luke's Warren Hospital185 Roseberry St, Phillipsburg, NJ 08865
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIVA REZVANIAN M.D
Internal Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 835-1910
JOHN M BROWN MD
Pathology (Anatomic Pathology)
185 ROSEBERRY ST, WARREN HOSPITAL
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6750
DR. DARIA M. STAROSTA DO
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
DR. ATILIO R ROSCHER MD
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
MS. JERI LYNN FLYNN MPH,RD,CHES
Dietitian, Registered
185 ROSEBERRY ST, 185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
YING SUN CRNA
Nurse Anesthetist, Certified Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810
SARA VINCENZI RD, LDN
Dietitian, Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
ANESTHESIA SPECIALISTS OF WARREN, LLC
Anesthesiology
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Luke's Warren Physician Group, PC's NPI number?

The NPI number for St. Luke's Warren Physician Group, PC is 1023746211. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as St. Luke's Warren Surgical Advance Practice Service.

Where is St. Luke's Warren Physician Group, PC located?

St. Luke's Warren Physician Group, PC is located at 185 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 847-2621.

What is St. Luke's Warren Physician Group, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Does St. Luke's Warren Physician Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0005867) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Luke's Warren Physician Group, PC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.