BAE SYSTEMS WAYNE NJ
NPI 1679164024
Clinic/Center - Occupational Medicine in Wayne, NJ

Q: What is Premise Health Of New Jersey Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Active since January 28, 2021CLIA 31D1066238 · Waiver

150 PARISH DR, WAYNE, NJ 07470(973) 305-2633(973) 305-2815 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Jan 28, 2021 (2 updates tracked since 2021).

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About Bae Systems Wayne Nj NPPES

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

BAE SYSTEMS WAYNE NJ (NPI 1679164024) is a healthcare organization registered as an occupational medicine in Wayne, New Jersey and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1679164024

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NamePREMISE HEALTH OF NEW JERSEY MEDICAL, P.C

Location Address150 PARISH DRWayne, NJ 07470-6009

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(973) 305-2633

Fax(973) 305-2815

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateJanuary 28, 2021

Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1679164024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

150 PARISH DR, Wayne, NJ 07470

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Other Names 1

Doing Business AsBae Systems Wayne Nj

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 31D1066238

Premise Health Of New Jersey Medical, PC · Wayne, NJ

Active · expires Mar 19, 2027

CLIA Number31D1066238

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2025

Certificate Expiration DateMarch 19, 2027

Laboratory DirectorAlbert F. Rielly

Laboratory Phone(201) 763-1102

Laboratory LocationPremise Health Of New Jersey Medical, PC150 Parish Drive, Wayne, NJ 07470

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of New Jersey Medical, P.C's NPI number?

The NPI number for Premise Health Of New Jersey Medical, P.C is 1679164024. It was assigned to this organization in the NPPES registry on January 28, 2021. The provider is doing business as Bae Systems Wayne Nj.

Where is Premise Health Of New Jersey Medical, P.C located?

Premise Health Of New Jersey Medical, P.C is located at 150 Parish Dr, Wayne, NJ 07470. The listed phone number is (973) 305-2633.

What is Premise Health Of New Jersey Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of New Jersey Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1066238) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of New Jersey Medical, P.C was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.