Organization · Type 2 NPI

Blue Star Lotus LLC

Urgent Care Clinic/Center · Elizabeth, NJ

NPI number 1023649712 Active

Practice location

120 Elmora Ave
Elizabeth, NJ 07202-1625

Call (973) 777-0000 Map

Fax (973) 370-4040

Mailing address

110 Squire Hill Rd
Montclair, NJ 07043-2516

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Urgent Care Clinic/Center Primary	261QU0200X	None listed

Urgent Care Clinic/Center: Definition to come...

Another provider at this address

Richard A. Lewis, DMDGeneral Practice Dentistry Elizabeth, NJ NPI 1760625891

Other urgent care clinic/center providers in Elizabeth

See all in Elizabeth →

NPI record

NPI: 1023649712
Entity type: Organization (Type 2)
Issued: Jan 31, 2020
Last updated: Jul 29, 2025
Status: Active

Other names

<unavail>
Blue Star Community Medical Care · doing business as
Blue Star Community Medical Care · doing business as

Authorized official

Mr. HR Manager
Owner/ceo
(973) 777-0000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1023649712

Blue Star Lotus LLC's National Provider Identifier is 1023649712, issued on Jan 31, 2020. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Elizabeth, NJ. The record was last updated on Jul 29, 2025.