BLUE STAR MEDICAL GROUP (NPI# 1558900928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558900928 |
| Entity Type | Organization |
| Organization Name | BLUE STAR MEDICAL GROUP |
| Practice Address |
110 Squire Hill Rd Montclair NJ 07043-2516 |
| Practice Telephone | 9733704000 |
| Practice Fax Number | 9733704040 |
| Mailing Telephone | 9733704000 |
| Mailing Fax Number | 9733704040 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MR. MAGDY F MAHMOUD (CEO/PRESIDENT) |
| Authorized Official Telephone | 9733704000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
110 SQUIRE HILL RD |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07043-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205314499 | Julia Hahn | Counselor | 161 Gordonhurst Avenue, Montclair, NJ 07043 | 2018-07-31 |
| 1902346877 | Montclair State University | Clinic/Center | 1 Normal Avenue, Division of Finance, Montclair, NJ 07043 | 2017-02-27 |
| 1770940199 | Montclair Performance Health and Chiropractic Inc | Chiropractor | 546 Valley Rd., Suite 103, Montclair, NJ 07043 | 2016-01-16 |
| 1881080885 | Rosalie Cespedes | Social Worker | 622 Valley Rd Ste 5e, Montclair, NJ 07043 | 2015-04-07 |
| 1629310537 | Kinder Smile Foundation | Dentist | 248 Lorraine Ave -, Suite #12, Upper Montclair, NJ 07043 | 2013-03-19 |
| 1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
| 1063733004 | Center for Counseling and Wellness, LLC | Community/Behavioral Health | 622-624 Valley Road, Suite 6, Upper Montclair, NJ 07043 | 2010-06-14 |
| 1346483286 | Cindy Marlene Sherman | Counselor | 18 Aubrey Road, Montclair, NJ 07043 | 2009-04-08 |
| 1831396977 | Michele D Vallone | Social Worker | One Bellevue Address, Suite 7, Upper Montclair, NJ 07043 | 2007-07-02 |
| 1497979132 | Montclair State University Health Center | Clinic/Center | One Normal Ave, Montclair State University Health Center, Montclair, NJ 07043 | 2007-04-12 |
| Find all providers in zip 07043 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962428060 | Central Avenue Urgent Care Center | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2006-07-14 |
| 1043775919 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Montclair, CA 91763-1618 | 2019-02-05 |
| 1356650386 | Central Urgent Medical Care | Clinic/Center | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2010-09-24 |
| 1558503169 | Thuy T M Nguyen M D Inc | Clinic/Center | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457880 | Nextgenuc LLC | Clinic/Center | 481 S Washington Ave, Bergenfield, NJ 07621-4313 | 2020-11-03 |
| 1679172795 | Urgent Care Xpress Nj | Clinic/Center | 205 Glassworks Blvd, Cliffwood, NJ 07721-1324 | 2020-10-20 |
| 1679185904 | Md1 Medical Care, P.C. | Clinic/Center | 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 | 2020-08-18 |
| 1699305938 | Your Kids Urgent Care | Clinic/Center | 1286 Springfield Ave, New Providence, NJ 07974-2901 | 2020-01-24 |
| 1487205936 | Urgent Care of Nj | Clinic/Center | 2690 Woodbridge Ave, Edison, NJ 08837-3604 | 2019-09-26 |
| 1932762994 | Town Doctors LLC | Clinic/Center | 285 Kinderkamack Rd, Oradell, NJ 07649-2101 | 2019-04-16 |
| 1285192625 | Central Jersey Urgent Care | Clinic/Center | 142 Highway 35 Ste 103, Eatontown, NJ 07724-1864 | 2019-03-05 |
| 1710454442 | Urgent Ortho Care | Clinic/Center | 403 Grand Ave, Englewood, NJ 07631-4104 | 2018-10-31 |
| 1053896167 | City Medical of New Jersey, PC | Clinic/Center | 340 Grove St, Jersey City, NJ 07302-5905 | 2018-09-25 |
| 1780163923 | American Current Care of New Jersey, P.a. | Clinic/Center | 2542 Brunswick Pike, Lawrenceville, NJ 08648-4103 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BLUE STAR MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.