ST. LUKE'S WARREN PHYSICIAN GROUP, PC
NPI 1104443035
Dermatology in Washington, NJ
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 1104443035) is a healthcare organization registered as a dermatology in Washington, New Jersey and active in the NPI registry since June 2020. The organization lists Sue Chiavaroli, Enrollment Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Luke's Warren Physician Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
527Medicare enrollment records show 527 clinicians reassign Medicare billing to St. Luke's Warren Physician Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 41
Nearest to this location (20)
See all 527Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1104443035. It was assigned to this organization in the NPPES registry on June 26, 2020.
Where is St. Luke's Warren Physician Group, PC located?
St. Luke's Warren Physician Group, PC is located at 279 State Route 31 S, Washington, NJ 07882. The listed phone number is (484) 503-7546.
What is St. Luke's Warren Physician Group, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is St. Luke's Warren Physician Group, PC enrolled in Medicare?
Yes. St. Luke's Warren Physician Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Luke's Warren Physician Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 527 clinicians in 41 Medicare specialties reassign their Medicare billing to St. Luke's Warren Physician Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (86), Internal Medicine (54) and Family Practice (34). Of these, 2 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St. Luke's Warren Physician Group, PC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# St. Luke's Warren Physician Group, Pc · NPI 1104443035
Dermatology organization in Washington, New Jersey. Organization record, active in the CMS NPPES registry since June 26, 2020.
## Identity
- **NPI:** 1104443035 (Entity type: Organization)
- **Enumerated:** June 26, 2020
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Sue Chiavaroli, ENROLLMENT SUPERVISOR
## Practice location
- **Address:** 279 STATE ROUTE 31 S, Washington, NJ 07882-4098
- **Phone:** (484) 503-7546 · **Fax:** (833) 214-0129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 527 clinicians in 41 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Internal Medicine (54), Family Practice (34); 2 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1104443035/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104443035) · Data from the CMS NPPES public registry.