BLUE STAR LOTUS LLC NPI 1023649712

NPI Information

  • NPI: 1023649712
  • Provider Name: BLUE STAR LOTUS LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • :
  • CLIA Number: 31D2173092
  • Address: 120 ELMORA AVE
    ELIZABETH, NJ
    ZIP 07202
  • Phone: (973) 777-0000

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NPI Details

BLUE STAR LOTUS LLC is an urgent care clinic center in Elizabeth, NJ. BLUE STAR LOTUS LLC NPI is 1023649712. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

120 ELMORA AVE
ELIZABETH, NJ
ZIP 07202-625
Phone: (973) 777-0000
Fax: (973) 370-4040

The provider's authorized official is Hr Manager .
The authorized official title is Owner/ceo and has the following contact phone number (973) 777-0000.

The CLIA number assigned to this NPI record is 31D2173092 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2020 and was last updated on 7/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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