OrganizationActive
Blue Star Lotus LLC
NPI 1023649712 · Urgent Care Clinic/Center · Elizabeth, NJ
Provider details
- NPI number
- 1023649712
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hr Manager, Owner/Ceo(973) 777-0000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
120 Elmora Ave
Elizabeth, NJ 07202-1625
Phone: (973) 777-0000
Fax: (973) 370-4040
Approximate (ZIP-level) locationGet directions
Mailing address
110 Squire Hill Rd
Montclair, NJ 07043-2516
Other names (DBA / former)
- Doing business as
- Blue Star Community Medical Care
- Doing business as
- Blue Star Community Medical Care
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.