Healthstat on-Site Clinic-Plymouth Rock MGT Group

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP

Practice address

581 Main St Ste 304
Woodbridge, NJ 07095-1148

Phone

(704) 529-6161

NPI assigned

Nov 11, 2014

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Warren Hutton

Title

Coo

Phone

(704) 529-6161

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Healthstat on-Site Clinicmilliken Enterprise237 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Healthstat Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Warren, NJ
  • NPI 1114296845
  NPD tax ID
• Healthstat Onsite Clinic- Zeus Branchburg

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Branchburg, NJ
  • NPI 1184038283
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1164828695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 MAIN ST STE 304",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951148",
            "telephone_number": "704-529-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-529-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Hamdan
• Dean S Hameda
• Fauzia Hameed, M.D.
• Hands at Work Inc
• Health Plan Systems Inc.
• Allison Heimbuch
• Nadia Marcia Hernandez
• Sasha Herrera
• Junid Homsi
• Samantha Horvath, LSW

• Preventive Medicine/Occupational Environmental Medicine Physician in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.