Active NPI
Blue Star Urgent Care
- Urgent Care Clinic/Center
- Paterson, NJ
National Provider Identifier
1265089734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BLUE STAR URGENT CARE
- Practice address
- 540 Straight St Ste 2B
Paterson, NJ 07503-3240 - Phone
- (201) 500-3000
- Fax
- (201) 350-3000
- NPI assigned
- Aug 20, 2019
- 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
- Yehuda Fink
- Title
- Ceo
- Phone
- (201) 679-1849
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | |||
| Allergy & Immunology Physician | 207K00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
540 Straight St Ste 2B
Paterson, NJ 07503-3240
Mailing address
4403 15TH Ave Ste 349
Brooklyn, NY 11219-1604
Phone (201) 679-1849
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 |
|---|---|---|---|
| 31D2173092 | Blue Star Urgent Care, LLC | Certificate of waiver | Oct 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
4403 15th Ave
Ste 349
Brooklyn, NY 11219
Interoperability endpoints
- https://api.platform.athenahealth.com/25183/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Bergenfield, NJ
- NPI 1518542141
-
- Pediatrics Physician
- Mountainside, NJ
- NPI 1033504766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1265089734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 15TH AVE STE 349",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191604",
"telephone_number": "201-679-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 STRAIGHT ST STE 2B",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075033240",
"telephone_number": "201-500-3000",
"fax_number": "201-350-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE STAR URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-20",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "YEHUDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "201-679-1849"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pain Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.