Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Star Lotus LLC

Organization Family Medicine Physician · NPI 1023649712

Blue Star Lotus LLC is a Family Medicine Physician in Elizabeth, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Elmora Ave
Elizabeth, NJ 07202-1625
Phone: (973) 777-0000
Fax: (973) 370-4040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1023649712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hr Manager — Owner/Ceo · (973) 777-0000
Other names Blue Star Community Medical Care; Blue Star Community Medical Care
NPI enumeratedJanuary 31, 2020
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address110 Squire Hill Rd, Montclair, NJ 07043-2516

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