Blue Medical Diagnostics East

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BLUE MEDICAL DIAGNOSTICS EAST

Practice address

176B Court St
Newark, NJ 07103-3820

Phone

(833) 363-3258

NPI assigned

Jan 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Syvon Evans

Title

Ceo

Phone

(833) 363-3258

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1134086101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176B COURT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176B COURT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033820",
            "telephone_number": "833-363-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MEDICAL DIAGNOSTICS EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SYVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-363-3258"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.