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

NPI Status: Active since August 15, 2022

Contact Information

185 ROSEBERRY ST
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 847-2621
Fax: (908) 847-3045

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  • Organization
  • Physician Assistant
  • Surgical
  • CLIA Number: 31D0005867
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About ST. LUKE'S WARREN PHYSICIAN GROUP, PC

This page provides the complete NPI Profile along with additional information for St. Luke's Warren Physician Group, Pc, a provider established in Phillipsburg, New Jersey operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1023746211 assigned on August 2022. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sue Chiavaroli (Enrollment Manager)

NPI
1023746211
Provider Name
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Entity Type
Organization
Location Address
185 ROSEBERRY ST PHILLIPSBURG, NJ 08865
Location Phone
(908) 847-2621
Location Fax
(908) 847-3045
Mailing Address
185 ROSEBERRY ST FARLEY BLDG., 2ND FLOOR PHILLIPSBURG, NJ 08865
Mailing Phone
(908) 847-2621
Mailing Fax
(908) 847-3045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2022
Last Update Date
08-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUE CHIAVAROLI

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(484) 526-3569

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0005867
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. DELINE M. DA COSTA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Luke's Warren Physician Group, Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023746211, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 4 + 4 + 1 + 2 + 2 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1023746211.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Acute Care Hospital
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Psychiatric Unit
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Respiratory Therapist, Certified (General Care)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Pathology (Anatomic Pathology)
185 ROSEBERRY ST, WARREN HOSPITAL
PHILLIPSBURG, NJ 08865
Nurse Anesthetist, Certified Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Anesthesiology
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Anesthesiology
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Internal Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Radiology (Diagnostic Radiology)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Registered Nurse (Emergency)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Dietitian, Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Dietitian, Registered
185 ROSEBERRY ST, 185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023746211, enumerated as an "organization" on August 15, 2022.

The provider is located at 185 ROSEBERRY ST PHILLIPSBURG, NJ 08865 and the phone number is (908) 847-2621.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.