WARREN MEDICAL SERVICES INC. NPI 1942322813

NPI Information

  • NPI: 1942322813
  • Provider Name: WARREN MEDICAL SERVICES, INC.
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: STATELINE MEDICAL
  • CLIA Number: 31D2132661
  • Address: 590 MARSHALL ST
    PHILLIPSBURG, NJ
    ZIP 08865
  • Phone: (908) 387-0003

Map and Directions

Get Directions

NPI Details

WARREN MEDICAL SERVICES, INC. is a methadone clinic center in Phillipsburg, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. WARREN MEDICAL SERVICES, INC. NPI is 1942322813. The provider is registered as an organization entity type.
The provider Is Doing Business As Stateline Medical.

The provider's business location address is:

590 MARSHALL ST
PHILLIPSBURG, NJ
ZIP 08865-629
Phone: (908) 387-0003
Fax: (908) 387-0005

The provider's authorized official is Gary David Gavornik .
The authorized official title is Executive Director and has the following contact phone number (908) 387-0003.

The CLIA number assigned to this NPI record is 31D2132661 - other - alcohol & drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadone22481NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI