Organization Active NPI

Blue Star Urgent Care

  • Urgent Care Clinic/Center
  • Paterson, NJ
National Provider Identifier
1265089734
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Mar 3, 2022

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)CodeLicenseStatePrimary
Pain Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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
31D2173092Blue Star Urgent Care, LLC540 Straight Street, Suite 2B, Paterson, NJ 07503Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

4403 15th Ave
Ste 349
Brooklyn, NY 11219

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.