Organization Active NPI

Star Laboratory Corporation

  • Clinical Medical Laboratory
  • Piscataway, NJ
National Provider Identifier
1134439573
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0004918 Issued in NJ
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

Updated by the provider on Aug 19, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0004918OtherNJLABORATORY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000498 NJ Part B Supplier - Independent Clinical Laboratory 0143406322 Practice locations: Piscataway, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2014717Star Laboratory Corporation125 Fleming Street, Piscataway, NJ 08854AccreditationOct 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.