Blue Star Lotus LLC
Clinic/Center, Urgent Care in Elizabeth, New Jersey
1023649712- Practice location
- 120 Elmora Ave, Elizabeth, NJ 07202-1625
- Phone
- 973-777-0000
- Fax
- 973-370-4040
- Last updated
- July 29, 2025
Blue Star Lotus LLC is a healthcare organization based in Elizabeth, NJ. Blue Star Lotus LLC practices in Elizabeth, NJ. The NPI Number for Blue Star Lotus LLC is 1023649712. The current practice location address for Blue Star Lotus LLC is 120 Elmora Ave, Elizabeth, NJ 07202-1625 and can be reached out via phone at 973-777-0000 and via fax at 973-370-4040.
Provider Profile Details
- NPI Number
- 1023649712
- Provider Name
- Blue Star Lotus LLC
- Provider Entity Type
- Organization
- Address
- 120 Elmora Ave, Elizabeth, NJ 07202-1625
- Phone Number
- 973-777-0000
- Fax Number
- 973-370-4040
- Primary Taxonomy
- Clinic/Center, Urgent Care · 261QU0200X
- Organization Subpart
- No
- Authorized Official
- Mr. Hr Manager · Owner/Ceo · 973-777-0000
- Other Names
- Blue Star Community Medical Care (Doing Business As)
- Provider Enumeration Date
- January 31, 2020
- Last Update Date
- July 29, 2025
- Certification Date
- July 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Elmora Ave
Elizabeth, NJ 07202-1625 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07202-1625
- Phone Number
- 973-777-0000
- Fax Number
- 973-370-4040
Provider Business Mailing Address Details
- Address
- 110 Squire Hill RD
Montclair, NJ 07043-2516 - City
- Montclair
- State
- NJ
- Zip
- 07043-2516
- Phone Number
- 973-370-4000
- Fax Number
- 973-370-4040
License Information
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Clinic/Center, Urgent Care · 261QU0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blue Star Lotus LLC?
The NPI number of Blue Star Lotus LLC is 1023649712. It was assigned on January 31, 2020 and is currently active in the NPPES registry.
What is the specialty of Blue Star Lotus LLC?
Blue Star Lotus LLC is registered under the primary taxonomy Clinic/Center, Urgent Care (code 261QU0200X).
Where does Blue Star Lotus LLC practice?
The practice location is 120 Elmora Ave, Elizabeth, NJ 07202-1625. The office can be reached at 973-777-0000 (phone) or 973-370-4040 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023649712 directly on the NPPES registry website.