BLUE MEDICAL DIAGNOSTICS EAST NPI 1134086101

NPI Information

  • NPI: 1134086101
  • Provider Name: BLUE MEDICAL DIAGNOSTICS EAST
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 176B COURT ST
    NEWARK, NJ
    ZIP 07103
  • Phone: (833) 363-3258

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NPI Details

BLUE MEDICAL DIAGNOSTICS EAST is a health service clinic center in Newark, NJ. BLUE MEDICAL DIAGNOSTICS EAST NPI is 1134086101. The provider is registered as an organization entity type.

The provider's business location address is:

176B COURT ST
NEWARK, NJ
ZIP 07103-820
Phone: (833) 363-3258

The provider's authorized official is Syvon Evans .
The authorized official title is Ceo and has the following contact phone number (833) 363-3258.

The enumeration date for this NPI number is 1/9/2026 and was last updated on 1/9/2026.

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
1261QC1500XClinic/CenterCommunity HealthNo
2261QH0100XClinic/CenterHealth ServiceYes

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

NPI Synchronization or Removal

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