HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP (NPI# 1164828695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164828695 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP |
| Practice Address |
581 Main St Ste 304 Woodbridge NJ 07095-1148 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MR. WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
581 MAIN ST STE 304 |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1083155808 | Kenneth Madueke | Nurse Practitioner | 404 Kings Ct, Woodbridge, NJ 07095 | 2017-03-13 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| Find all providers in zip 07095 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245636851 | Total Restorative Health, LLC | Preventive Medicine | 519 River Rd, Second Floor, Edgewater, NJ 07020-1146 | 2014-11-10 |
| 1184038283 | Healthstat Onsite Clinic- Zeus Branchburg | Preventive Medicine | 134 Chubb Way, Branchburg, NJ 08876-3935 | 2014-06-17 |
| 1114296845 | Healthstat Inc. | Preventive Medicine | 40 Technology Dr, Warren, NJ 07059-5148 | 2011-12-27 |
| 1932397742 | Glenn Joel Greene | Preventive Medicine | 72 Jacobs Creek Rd, West Trenton, NJ 08628-1704 | 2007-10-05 |
| 1275753063 | James A. Neubrander | Preventive Medicine | 485a Route 1 S, Suite 320, Iselin, NJ 08830-3012 | 2007-04-26 |
| 1003934159 | Francis E Mann | Preventive Medicine | 70-94 Levine Street, Paterson, NJ 07503 | 2007-03-27 |
| 1538287909 | Lisa C James | Preventive Medicine | 116 Corporate Blvd, South Plainfield, NJ 07080-2437 | 2007-03-26 |
| 1215080775 | Omowunmi Yejide Osinubi | Preventive Medicine | 170 Frelinghuysen Rd Rm 202, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-01-19 |
| 1336151471 | Ron F. Teichman | Preventive Medicine | 4 Forest Dr, West Orange, NJ 07052-2207 | 2006-08-13 |
| 1417977497 | Phyllis Elizabeth Marino | Preventive Medicine | 15 Essex Rd Ste 5, Paramus, NJ 07652-1412 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.