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STATELINE MEDICAL
NPI 1942322813
Clinic/Center - Methadone in Phillipsburg, NJ

Active since April 04, 2007
590 MARSHALL ST, PHILLIPSBURG, NJ 08865(908) 387-0003(908) 387-0005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stateline Medical NPPES

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

STATELINE MEDICAL (NPI 1942322813) is a healthcare organization registered as a methadone in Phillipsburg, New Jersey and active in the NPI registry since April 2007. The organization lists Gary David Gavornik, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942322813
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameWARREN MEDICAL SERVICES, INC.
Location Address590 MARSHALL STPhillipsburg, NJ 08865-2629
Mailing Address590 Marshall StPhillipsburg, NJ 08865-2629 · (908) 387-0003 · Fax (908) 387-0005
Phone(908) 387-0003
Fax(908) 387-0005
Organization SubpartNo
Authorized OfficialGary David GavornikExecutive Director · (908) 387-0003
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942322813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in NJ · 22481
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
590 MARSHALL ST, Phillipsburg, NJ 08865
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Other Names 1

Doing Business AsStateline Medical

Other Providers at the Same Location NPPES 7

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

MRS. LATISHA S. FREDERICK
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
PINNACLE TREATMENT CENTERS NJ-II LLC
Clinic/Center (Methadone)
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
BROOKE HOCKING
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
MRS. AMANDA J MUSCHETT
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
ANTHONY MIDDLE MORELLI JR.
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
JANICE WRIGHT LCADC
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0003
SCOTT POHL CPRS
Counselor (Addiction (Substance Use Disorder))
590 MARSHALL ST
PHILLIPSBURG, NJ 08865
Warren County (908) 387-0004

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 Warren Medical Services, Inc.'s NPI number?

The NPI number for Warren Medical Services, Inc. is 1942322813. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as Stateline Medical.

Where is Warren Medical Services, Inc. located?

Warren Medical Services, Inc. is located at 590 Marshall St, Phillipsburg, NJ 08865. The listed phone number is (908) 387-0003.

What is Warren Medical Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Warren Medical Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.