Active NPI
Star Laboratory Corporation
- Clinical Medical Laboratory
- Piscataway, NJ
National Provider Identifier
1134439573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 0004918
- Legal business name
- STAR LABORATORY CORPORATION
- Practice address
- 125 Fleming St
Piscataway, NJ 08854-3350 - Phone
- (732) 529-5100
- Fax
- (732) 474-0923
- NPI assigned
- Oct 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Khawaja
- Title
- Ceo
- Phone
- (732) 529-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 0004918 | NJ | Primary |
Addresses
Primary practice location
125 Fleming St
Piscataway, NJ 08854-3350
Mailing address
125 Fleming St
Piscataway, NJ 08854-3350
Phone (732) 529-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004918 | Other | NJ | LABORATORY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110524000498 | NJ | Part B Supplier - Independent Clinical Laboratory | 0143406322 | Practice locations: Piscataway, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2014717 | Star Laboratory Corporation | Accreditation | Oct 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
687 Frelinghuysen Ave
Ste 10
Newark, NJ 07114
Phone (973) 242-5550
125 Fleming St
Piscataway, NJ 08854
Phone (609) 731-6741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1134439573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 FLEMING ST",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543350",
"telephone_number": "732-529-5100",
"fax_number": "732-474-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 FLEMING ST",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543350",
"telephone_number": "732-529-5100",
"fax_number": "732-474-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR LABORATORY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "KHAWAJA",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-529-5100"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": "0004918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABORATORY",
"identifier": "0004918",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.