HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP
NPI 1164828695
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Woodbridge, NJ
About Healthstat On-site Clinic-plymouth Rock Mgt Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSTAT ON-SITE CLINIC-PLYMOUTH ROCK MGT GROUP (NPI 1164828695) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Woodbridge, New Jersey and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Warren Hutton, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2086859
Healthstat On-Site Clinic/Plymouth Rock Mgt · Woodbridge, NJFrequently 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 Healthstat On-Site Clinic-Plymouth Rock Mgt Group's NPI number?
The NPI number for Healthstat On-Site Clinic-Plymouth Rock Mgt Group is 1164828695. It was assigned to this organization in the NPPES registry on November 11, 2014.
Where is Healthstat On-Site Clinic-Plymouth Rock Mgt Group located?
Healthstat On-Site Clinic-Plymouth Rock Mgt Group is located at 581 Main St Ste 304, Woodbridge, NJ 07095. The listed phone number is (704) 529-6161.
What is Healthstat On-Site Clinic-Plymouth Rock Mgt Group's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Does Healthstat On-Site Clinic-Plymouth Rock Mgt Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2086859) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Healthstat On-Site Clinic-Plymouth Rock Mgt Group was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Healthstat On-Site Clinic-Plymouth Rock Mgt Group · NPI 1164828695
Preventive Medicine/Occupational Environmental Medicine organization in Woodbridge, New Jersey. Organization record, active in the CMS NPPES registry since November 11, 2014.
## Identity
- **NPI:** 1164828695 (Entity type: Organization)
- **Enumerated:** November 11, 2014
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** No
- **Authorized official:** Warren Hutton, COO
## Practice location
- **Address:** 581 MAIN ST STE 304, Woodbridge, NJ 07095-1148
- **Phone:** (704) 529-6161
## Record status
- **NPPES last updated:** April 15, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164828695) · Data from the CMS NPPES public registry.