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

Blue Star Medical Group

Organization Family Medicine Physician · NPI 1558900928

Blue Star Medical Group is a Family Medicine Physician in Montclair, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5

Practice location Address checks out

110 Squire Hill Rd
Montclair, NJ 07043-2516
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
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1558900928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hr Manager — Manager · (973) 777-0000
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address110 Squire Hill Rd, Montclair, NJ 07043-2516

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